Theracounsel NV, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6758-C Issued in NV

Legal business name

THERACOUNSEL NV, INC.

Practice address

11241 Campanile St
Las Vegas, NV 89141-6047

Phone

(727) 452-9885

NPI assigned

Aug 20, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ihab Issa, MBA

Title

Director

Phone

(954) 647-8578

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1255730727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 NE 22ND ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333052804",
            "telephone_number": "954-647-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11241 CAMPANILE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891416047",
            "telephone_number": "727-452-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERACOUNSEL NV, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "ISSA",
        "authorized_official_first_name": "IHAB",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-647-8578",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "6758-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.