Provider Demographics
NPI:1760769582
Name:L I F E COUNSELING LLC
Entity Type:Organization
Organization Name:L I F E COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:SUAREZ SOTOMAYOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-365-0600
Mailing Address - Street 1:153 W LAKE MEAD PKWY STE 3110
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-8006
Mailing Address - Country:US
Mailing Address - Phone:702-463-3043
Mailing Address - Fax:702-463-4353
Practice Address - Street 1:153 W LAKE MEAD PKWY STE 3110
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-8006
Practice Address - Country:US
Practice Address - Phone:702-463-3043
Practice Address - Fax:702-463-4353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-08
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty