Healthcare Provider Details
I. General information
NPI: 1710497201
Provider Name (Legal Business Name): HOPE AND HAPPINESS COUNSELING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/10/2017
Last Update Date: 10/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4560 S EASTERN AVE STE 17
LAS VEGAS NV
89119-6182
US
IV. Provider business mailing address
2657 WINDMILL PKWY # 317
HENDERSON NV
89074-3384
US
V. Phone/Fax
- Phone: 702-610-2995
- Fax:
- Phone: 702-610-2995
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAMES
HARTSELL
Title or Position: OWNER
Credential: MFT-I
Phone: 702-610-2995