Provider Demographics
NPI:1710376181
Name:FAITH IND AND FAMILY COUNCELING
Entity Type:Organization
Organization Name:FAITH IND AND FAMILY COUNCELING
Other - Org Name:SANSON
Other - Org Type:Other Name
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:HANUSA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT MA
Authorized Official - Phone:702-370-4244
Mailing Address - Street 1:2620 REGATTA DR. SUITE 102
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128
Mailing Address - Country:US
Mailing Address - Phone:702-370-4244
Mailing Address - Fax:702-548-3826
Practice Address - Street 1:2620 REGATTA DR.
Practice Address - Street 2:SUITE 102
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:08128
Practice Address - Country:US
Practice Address - Phone:702-370-4244
Practice Address - Fax:702-548-3826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-22
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty