NPI 1386396687 · live from the CMS NPI Registry
A Divine Counseling & Consulting Services Professional LLC
Community/Behavioral Health in North Las Vegas, NV. National Provider Identifier 1386396687, active.
NPI record
| NPI | 1386396687 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Community/Behavioral Health 251S00000X |
| Practice location | 5135 Camino Al Norte Ste 258, North Las Vegas, NV 89031 |
| Practice phone | 702-635-7306 |
| Mailing address | 5332 Mountain Garland Ln, N Las Vegas, NV 89081 |
| Enumerated | January 19, 2022 |
| Last updated | October 26, 2023 |
| Authorized official | Shatana Harris-Cobb, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Community Health | 261QC1500X | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — |
| Counselor | 101Y00000X | — |
| Community/Behavioral Health primary | 251S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.