Healthcare Provider Details

I. General information

NPI: 1518133529
Provider Name (Legal Business Name): H.O.P.E. COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2008
Last Update Date: 02/16/2023
Certification Date: 02/16/2023
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: 702-445-5653
  • Fax: 702-438-4673
Mailing address:
  • Phone: 702-445-5653
  • Fax: 702-438-4673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE A. MOLDOVAN
Title or Position: MEMBER
Credential: L.C.S.W.
Phone: 702-809-3507