Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

1111 Therapy & Mental Health Institute

Organization Drama Therapist · NPI 1831863315

1111 Therapy & Mental Health Institute is a Drama Therapist in Las Vegas, Nevada. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
15

Practice location Address checks out

1504 Blackcombe St Unit 204
Las Vegas, NV 89128-8019
Phone: (404) 849-9918
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Drama Therapist Taxonomy 101200000X
Counselor Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Psychosomatic Medicine Physician Taxonomy 2084P0015X
Art Therapist Taxonomy 221700000X
Rehabilitation Practitioner Taxonomy 225400000X
Dance Therapist Taxonomy 225600000X
Music Therapist Taxonomy 225A00000X
Rehabilitation Counselor Taxonomy 225C00000X
Case Management Agency Taxonomy 251B00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Assisted Living Facility (Behavioral Disturbances) Taxonomy 3104A0630X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X

Record details

NPI number1831863315
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rodney Bumpers — Manager · (404) 849-9918
NPI enumeratedAugust 6, 2021
Last updated in NPPESAugust 6, 2021
Certification dateAugust 6, 2021
Mailing address1504 Blackcombe St Unit 204, Las Vegas, NV 89128-8019

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