Provider Demographics
NPI:1164081840
Name:HABECK, RICHARD B (LCPC)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:B
Last Name:HABECK
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7371 W CHARLESTON BLVD STE 130
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-1575
Mailing Address - Country:US
Mailing Address - Phone:702-550-8665
Mailing Address - Fax:888-780-3217
Practice Address - Street 1:7371 W CHARLESTON BLVD STE 130
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-1575
Practice Address - Country:US
Practice Address - Phone:702-550-8665
Practice Address - Fax:888-780-3217
Is Sole Proprietor?:No
Enumeration Date:2019-06-06
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
NVCP5549101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor