Healthcare Provider Details
I. General information
NPI: 1073269122
Provider Name (Legal Business Name): ENCOUNTERS COUNSELING AND RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/28/2022
Last Update Date: 03/30/2023
Certification Date: 03/30/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7495 W AZURE DR STE 247
LAS VEGAS NV
89130-4416
US
IV. Provider business mailing address
7495 W AZURE DR STE 247
LAS VEGAS NV
89130-4416
US
V. Phone/Fax
- Phone: 702-742-1500
- Fax:
- Phone: 760-937-0118
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0405X |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEPHANIE
ELSWICK
PARTIDA
Title or Position: OWNER
Credential: LCSW, LCADC-I
Phone: 760-937-0118