OrganizationActive
Anywhere Clinic Washington PLLC
NPI 1205776853 · Psychiatry Physician · Las Vegas, NV
Provider details
- NPI number
- 1205776853
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Grant Bullock, Member(702) 848-2256
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4029 Dean Martin Dr
Las Vegas, NV 89103-4138
Phone: (702) 848-2256
Fax: (702) 817-9443
Approximate (ZIP-level) locationGet directions
Mailing address
2800 E Madison St Ste 201
Seattle, WA 98112-4865
Registry dates
- Enumerated
- 2026-03-31
- Last updated
- 2026-03-31
- Certified
- 2026-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.