Provider Demographics
NPI:1720770944
Name:ARCADIAN WELLNESS, LLC
Entity type:Organization
Organization Name:ARCADIAN WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER - O
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-10619-C
Authorized Official - Phone:775-385-4479
Mailing Address - Street 1:PO BOX 1246
Mailing Address - Street 2:
Mailing Address - City:CARLIN
Mailing Address - State:NV
Mailing Address - Zip Code:89822
Mailing Address - Country:US
Mailing Address - Phone:775-385-4479
Mailing Address - Fax:
Practice Address - Street 1:902 COURT STREET
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801
Practice Address - Country:US
Practice Address - Phone:775-385-4479
Practice Address - Fax:775-738-2568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty