Healthcare Provider Details

I. General information

NPI: 1033717913
Provider Name (Legal Business Name): H.O.P.E. COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2020
Last Update Date: 10/14/2020
Certification Date: 10/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 S RANCHO DR STE A10
LAS VEGAS NV
89106-4898
US

IV. Provider business mailing address

601 S RANCHO DR STE A10
LAS VEGAS NV
89106-4898
US

V. Phone/Fax

Practice location:
  • Phone: 702-437-4673
  • Fax:
Mailing address:
  • Phone: 702-437-4673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ADRIAN MOLDOVAN
Title or Position: CEO
Credential: MS
Phone: 702-437-4673