Provider Demographics
NPI:1710373675
Name:CONSULTATION & COUNSELING ASSOCIATES INC
Entity Type:Organization
Organization Name:CONSULTATION & COUNSELING ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-255-0056
Mailing Address - Street 1:5836 S PECOS RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-3418
Mailing Address - Country:US
Mailing Address - Phone:702-255-0056
Mailing Address - Fax:702-255-0076
Practice Address - Street 1:5836 S PECOS RD
Practice Address - Street 2:SUITE 204
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-3418
Practice Address - Country:US
Practice Address - Phone:702-255-0056
Practice Address - Fax:702-255-0076
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONSULTATION & COUNSELING ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-04-07
Last Update Date:2016-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20081377193251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health