Provider Demographics
NPI:1821370412
Name:CONSULTATIONS AND COUNSELING ASSOCIATES INC.
Entity Type:Organization
Organization Name:CONSULTATIONS AND COUNSELING ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDAL
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD,LMFT
Authorized Official - Phone:702-255-0056
Mailing Address - Street 1:2340 PASEO DEL PRADO
Mailing Address - Street 2:SUITE D-301
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-4342
Mailing Address - Country:US
Mailing Address - Phone:702-255-0056
Mailing Address - Fax:702-255-0076
Practice Address - Street 1:2340 PASEO DEL PRADO
Practice Address - Street 2:SUITE D-301
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-4342
Practice Address - Country:US
Practice Address - Phone:702-255-0056
Practice Address - Fax:702-255-0076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty