Candlelight Counseling Center

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

CANDLELIGHT COUNSELING CENTER

Practice address

5258 S Eastern Ave
Las Vegas, NV 89119-2326

Phone

(702) 881-9903

NPI assigned

Oct 8, 2018

Organization subpart

No

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

Authorized official

Name

Desiree Amezcua

Title

President

Phone

(702) 881-9903

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1922573765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ROCKY TRAIL RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140321",
            "telephone_number": "702-881-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5258 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192326",
            "telephone_number": "702-881-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLELIGHT COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "AMEZCUA",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-881-9903"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ester Candido
• Pamela Michelle Candido
• Rosa Candido
• Yovie Canding
• Phillip Candland
• Candlelight Mental Health Counseling Center LLC
• Deangelo L Candler
• Mar'Kyi Candler
• Candy Hair LLC
• Nicole Canedo, CSWI

• Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.