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

Roots and Bloom Lv Psychiatry PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1750278859

Roots and Bloom Lv Psychiatry PLLC is a Psychiatric/Mental Health Nurse Practitioner in Las Vegas, Nevada. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10655 Park Run Dr Ste 210
Las Vegas, NV 89144-4590
Phone: (702) 375-3668
Fax: (707) 745-0988
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1750278859
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jaclyn Prell — Ceo · (702) 375-3668
Other names Roots And Bloom Lv Psychiatry Pllc
NPI enumeratedJune 20, 2025
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025
Mailing address2009 Marble Gorge Dr, Las Vegas, NV 89117-5955

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