A Divine Counseling & Consulting Services Professional LLC
Community/Behavioral Health in North Las Vegas, NV. Organization (NPI-2).
NPI number1386396687
StatusActive
Last updated in NPPESOct 26, 2023
Details
- NPI
- 1386396687
- Entity type
- Organization (NPI-2)
- Legal business name
- A Divine Counseling & Consulting Services Professional LLC
- Organization subpart
- No
- Enumeration date
- Jan 19, 2022
- Certification date
- Oct 26, 2023
- Last updated
- Oct 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 261QC1500X | Clinic/Center, Community Health | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 101Y00000X | Counselor | – | – |
Practice location
5135 Camino Al Norte Ste 258North Las Vegas, NV 89031-2419
Phone 702-635-7306
Mailing address
5332 Mountain Garland LnN Las Vegas, NV 89081-4034
Phone 702-635-7306
Authorized official
Shatana Harris-Cobb
Owner
7026357306
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