Healthcare Provider Details

I. General information

NPI: 1265133573
Provider Name (Legal Business Name): STRENGTH N STRANGERS COMMUNITY DEVELOPMENT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2023
Last Update Date: 03/14/2023
Certification Date: 03/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 PURPLE PASSION AVE
NORTH LAS VEGAS NV
89032-1217
US

IV. Provider business mailing address

109 PURPLE PASSION AVE
NORTH LAS VEGAS NV
89032-1217
US

V. Phone/Fax

Practice location:
  • Phone: 702-561-9713
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KEMI HOPKINS
Title or Position: DIRECTOR
Credential:
Phone: 702-561-9713