Provider Demographics
NPI:1114176427
Name:HEALTHY CONNECTIONS BY JOANIE
Entity Type:Organization
Organization Name:HEALTHY CONNECTIONS BY JOANIE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOANIE
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:GILLESPIE
Authorized Official - Suffix:
Authorized Official - Credentials:CNS
Authorized Official - Phone:702-454-6078
Mailing Address - Street 1:2 COMMERCE CENTER DR
Mailing Address - Street 2:SUITE A-10
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-2334
Mailing Address - Country:US
Mailing Address - Phone:702-454-6078
Mailing Address - Fax:702-454-4024
Practice Address - Street 1:2 COMMERCE CENTER DR
Practice Address - Street 2:SUITE A-10
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-2334
Practice Address - Country:US
Practice Address - Phone:702-454-6078
Practice Address - Fax:702-454-4024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty