Healthcare Provider Details

I. General information

NPI: 1982098703
Provider Name (Legal Business Name): MRS. SARA HIRSZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2015
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2740 S JONES BLVD
LAS VEGAS NV
89146-5306
US

IV. Provider business mailing address

2740 S JONES BLVD
LAS VEGAS NV
89146-5306
US

V. Phone/Fax

Practice location:
  • Phone: 702-248-8866
  • Fax: 702-248-1339
Mailing address:
  • Phone: 702-248-8866
  • Fax: 702-248-1339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCP5290
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: