Provider Demographics
NPI:1275774978
Name:ANDRES COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:ANDRES COUNSELING SERVICES, LLC
Other - Org Name:HOLLY A. ANDRES, MSW, LCSW
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:ADELE
Authorized Official - Last Name:ANDRES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:702-204-9495
Mailing Address - Street 1:7500 W LAKE MEAD BLVD
Mailing Address - Street 2:SUITE 9-472
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0297
Mailing Address - Country:US
Mailing Address - Phone:702-204-9495
Mailing Address - Fax:702-240-1625
Practice Address - Street 1:2441 TECH CENTER CT
Practice Address - Street 2:SUITE 109
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0804
Practice Address - Country:US
Practice Address - Phone:702-810-4122
Practice Address - Fax:702-240-1625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-10
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4097-C251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health