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

Peoples Church

Organization Psychologist · NPI 1386212900

Peoples Church is a Psychologist in Las Vegas, Nevada. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
6

Practice location Address checks out

304 S Jones Blvd
Las Vegas, NV 89107-2623
Phone: (413) 687-0507
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Psychologist Taxonomy 103T00000X
Family Psychologist Taxonomy 103TF0000X
Addiction Psychiatry Physician Taxonomy 2084P0802X
Case Management Agency Taxonomy 251B00000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1386212900
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chandra Platz — Owner · (413) 687-0507
Other names Tidewater Wellness Center
NPI enumeratedJune 11, 2021
Last updated in NPPESJune 11, 2021
Certification dateMay 25, 2021
Mailing address304 S Jones Blvd, Las Vegas, NV 89107-2623

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