Healthcare Provider Details

I. General information

NPI: 1730485210
Provider Name (Legal Business Name): SIGNS OF HOPE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2011
Last Update Date: 07/18/2023
Certification Date: 07/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 S RANCHO DR STE C3
LAS VEGAS NV
89106-3858
US

IV. Provider business mailing address

801 S RANCHO DR STE C3
LAS VEGAS NV
89106-3858
US

V. Phone/Fax

Practice location:
  • Phone: 702-385-2153
  • Fax: 702-385-7659
Mailing address:
  • Phone: 702-385-2153
  • Fax: 702-385-7659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0654
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. CHERYL ELIZABETH CARRASCO
Title or Position: CLINICAL DIRECTOR
Credential: LCSW
Phone: 702-385-2153