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NPI Code Detail

MEDICARE: LIVE HAPPY COUNSELING, LLC

MEDICARE: LIVE HAPPY COUNSELING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst
2101Y00000XCounselor

General Provider Information

NPI Number : 1205345048
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIVE HAPPY COUNSELING, LLC
Provider Business Mailing Address
First Line : 6730 S FORT APACHE RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5396
Country : US
Telephone Number : 702-665-5593
Fax Number : 702-665-5887
Provider Business Practice Location Address
First Line : 6730 S FORT APACHE RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5396
Country : US
Telephone Number : 702-581-9667
Fax Number : 702-665-5887
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : JACLYN D'AMBROSIO
Credential : MFT
Telephone Number : 702-665-5593
Provider Enumeration Date : 09/25/2017
Last Update Date : 04/17/2024

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Directions to “LIVE HAPPY COUNSELING, LLC ” Practice Location

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