MARIO WOLTHERS JR.


Address: 2575 Montessouri St Ste 200, Las Vegas, NV 89117-3060
Phone: (702) 587-8106

MARIO WOLTHERS JR. (NPI# 1396268793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396268793
Entity Type Individual
Full Name MARIO WOLTHERS JR.
Practice Address 2575 Montessouri St Ste 200
Las Vegas
NV 89117-3060
Practice Telephone (702) 587-8106
Mailing Telephone 7025878106
Enumeration Date 2017-07-18
Last Update Date 2017-07-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NV DRIVERS LICENSE 1403177618 01

Office Location

Street Address 2575 MONTESSOURI ST STE 200
City LAS VEGAS
State NV
Zip Code 89117-3060

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881089175 Arbor Behavioral Services LLC Social Worker 2575 Montessouri St Ste 200, Las Vegas, NV 89117-3060 2015-04-02
1033767298 Nicole Canedo Social Worker 2575 Montessouri St Ste 200, Las Vegas, NV 89117-3060 2019-08-30
1447722764 Vmae Corp Community/Behavioral Health 2575 Montessouri St Ste 200, Las Vegas, NV 89117-3060 2018-12-27
1881172245 Least of Them Transitional Support Services Nurse Practitioner 2575 Montessouri St Ste 200, Las Vegas, NV 89117 2018-07-29
1043706716 Vmae Corp Clinic/Center 2575 Montessouri St Ste 200, Las Vegas, NV 89117-3060 2018-07-06
1750885414 Christa Marie Savage Rehabilitation Practitioner 2575 Montessouri St Ste 200, Las Vegas, NV 89117-3060 2018-03-19
1114426673 Vmae Corp Case Management 2575 Montessouri St Ste 200, Las Vegas, NV 89117-3060 2018-02-09
1922510031 Regina Leigh Bailey Counselor 2575 Montessouri St Ste 200, Las Vegas, NV 89117-3060 2017-10-30
1619487709 Skye Campbell Community Health Worker 2575 Montessouri St Ste 200, Las Vegas, NV 89117-3060 2017-10-03
1154842326 Trashari Holmes Rehabilitation Practitioner 2575 Montessouri St Ste 200, Las Vegas, NV 89117-3060 2017-06-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1831709740 Marizel Yukee Nurse Practitioner 3086 Lapis Beach Dr, Las Vegas, NV 89117 2020-08-05
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1154805356 Joyce Ingram Counselor 8600 Starboard Dr Apt 2100, Las Vegas, NV 89117 2018-09-24
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City LAS VEGAS
Zip Code 89117

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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