# COUNSELING AND NEURO DYNAMICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COUNSELING and NEURO DYNAMICS LLC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063075513
- **Authorized official:** DEVONE VERSE PH.D./CPC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (773) 619-2001

## Contact information

- **Practice address:** 6655 W SAHARA AVE \# 106, LAS VEGAS, NV 89146-0842
- **Practice address phone:** (773) 619-2001
- **Mailing address:** 5940 S RAINBOW BLVD STE 1004, LAS VEGAS, NV 89118-2506
- **Mailing address phone:** (773) 619-2001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 246ZE0600X | Electroneurodiagnostic Specialist/Technologist | — | NULL | — |
| 246ZE0600X | Electroneurodiagnostic Specialist/Technologist | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/19/2019
- **Last updated:** 06/07/2021