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COUNSELING AND NEURO DYNAMICS LLC NPI 1063075513


NPI Information

NPI: 1063075513
Provider Name: COUNSELING AND NEURO DYNAMICS LLC

Other Name: COUNSELING AND NEURO DYNAMICS LLC.

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
6655 W SAHARA AVE # 106
LAS VEGAS, NV
ZIP 89146
Phone: (773) 619-2001
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COUNSELING AND NEURO DYNAMICS LLC is a mental health counselor in Las Vegas, NV. COUNSELING AND NEURO DYNAMICS LLC NPI is 1063075513. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Counseling And Neuro Dynamics Llc..

The provider's business location address is:

6655 W SAHARA AVE # 106
LAS VEGAS, NV
ZIP 89146-842
Phone: (773) 619-2001

The provider's authorized official is Devone Verse .
The authorized official title is Executive Director and has the following contact phone number (773) 619-2001.

The enumeration date for this NPI number is 4/19/2019 and was last updated on 6/7/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthYes
3104100000XSocial WorkerNo
4208D00000XGeneral PracticeNo
5246ZE0600XSpecialist/Technologist, OtherElectroneurodiagnosticNo
6251S00000XCommunity/Behavioral HealthNo
7363L00000XNurse PractitionerNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NV20191302412OTHERNEVADANEVADA BUSINESS LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.