OrganizationActive
1111 Therapy & Mental Health Institute
NPI 1831863315 · Mental Health Counselor · Las Vegas, NV
Provider details
- NPI number
- 1831863315
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Rodney Bumpers, Manager(404) 849-9918
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Drama Therapist101200000X
Behavioral Health & Social Service Providers
- Art Therapist221700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Rehabilitation Practitioner225400000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Dance Therapist225600000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Music Therapist225A00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Counselor101Y00000X
Practice location
1504 Blackcombe St Unit 204
Las Vegas, NV 89128-8019
Phone: (404) 849-9918
Approximate (ZIP-level) locationGet directions
Mailing address
1504 Blackcombe St Unit 204
Las Vegas, NV 89128-8019
Registry dates
- Enumerated
- 2021-08-06
- Last updated
- 2021-08-06
- Certified
- 2021-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.