Provider Demographics
NPI:1942600457
Name:ITALCOL, INC
Entity Type:Organization
Organization Name:ITALCOL, INC
Other - Org Name:CAPITAL VOC CONSULTING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. VOCATIONAL CONSULTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERIUSKA
Authorized Official - Middle Name:V
Authorized Official - Last Name:CORSO
Authorized Official - Suffix:
Authorized Official - Credentials:CDMS
Authorized Official - Phone:702-496-6363
Mailing Address - Street 1:6655 WEST SAHARA AVE
Mailing Address - Street 2:SUITE B200
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146
Mailing Address - Country:US
Mailing Address - Phone:702-222-4061
Mailing Address - Fax:702-974-1652
Practice Address - Street 1:6655 WEST SAHARA AVE
Practice Address - Street 2:SUITE B200
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146
Practice Address - Country:US
Practice Address - Phone:702-222-4061
Practice Address - Fax:702-974-1652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-03
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20061221497251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management