Healthcare Provider Details

I. General information

NPI: 1770447773
Provider Name (Legal Business Name): HCGR & ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2025
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N RAINBOW BLVD STE 170
LAS VEGAS NV
89107-1189
US

IV. Provider business mailing address

800 N RAINBOW BLVD STE 170
LAS VEGAS NV
89107-1189
US

V. Phone/Fax

Practice location:
  • Phone: 702-948-5060
  • Fax: 702-900-9160
Mailing address:
  • Phone: 702-948-5060
  • Fax: 702-900-9160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. INDIA HATTER-GOLSTON
Title or Position: CHIEF ADMINISTRATOR & COMPLIANCE
Credential: B.S
Phone: 702-948-5060