Provider Demographics
NPI:1790589679
Name:NV COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:NV COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NELSY
Authorized Official - Middle Name:M
Authorized Official - Last Name:VILLALOBOS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:904-608-2829
Mailing Address - Street 1:245 RIVERSIDE AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32202-4930
Mailing Address - Country:US
Mailing Address - Phone:904-608-2829
Mailing Address - Fax:
Practice Address - Street 1:1707 SHORE VIEW DR W
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-5321
Practice Address - Country:US
Practice Address - Phone:954-610-2308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NELSY M VILLALOBOS LCSW
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty