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Organization

PIONEER PEDIATRICS WELLNESS CENTER

Active
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Organization

PIONEER PEDIATRICS WELLNESS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PRISCILLA VERNICE OTOO-ADJORLOLO LCSW (CLINICAL DIRECTOR)
(702) 370-7842
Entity
Organization

Contact information

Practice address
4840 E BONANZA RD STE 5, LAS VEGAS, NV 89110-3453
(702) 370-7842
Mailing address
4840 E BONANZA RD STE 5, LAS VEGAS, NV 89110-3453
(702) 370-7842

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
NULL
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL

Other

Enumeration date
11/19/2025
Last updated
11/19/2025
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