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

Wellness Support Services

Organization Addiction (Substance Use Disorder) Counselor · NPI 1164111035

Wellness Support Services is an Addiction (Substance Use Disorder) Counselor in Las Vegas, Nevada. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
9
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Practice location Address checks out

3930 E Patrick Ln
Las Vegas, NV 89120-4924
Phone: (951) 400-8548
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Behavior Analyst Taxonomy 103K00000X
Clinical Social Worker Taxonomy 1041C0700X
Pain Management Registered Nurse Taxonomy 163WP0000X
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X
Community/Behavioral Health Agency Taxonomy 251S00000X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X

Record details

NPI number1164111035
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Jackson — Owner · (951) 400-8548
Other names Maria Jackson Sole Mbr
NPI enumeratedMay 5, 2023
Last updated in NPPESMay 5, 2023
Certification dateMay 4, 2023
Mailing address3930 E Patrick Ln, Las Vegas, NV 89120-4924

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