# BOYS & GIRLS CLUBS OF SOUTHERN NEVADA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225684319
- **Authorized official:** ALMA ROSA SPEARS MS., M.ED., MFT-I (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (702) 367-2582

## Contact information

- **Practice address:** 2850 LINDELL RD, LAS VEGAS, NV 89146-6815
- **Practice address phone:** (702) 367-2582
- **Practice address fax:** (702) 932-0647
- **Mailing address:** 2850 LINDELL RD, LAS VEGAS, NV 89146-6815
- **Mailing address phone:** (702) 367-2582
- **Mailing address fax:** (702) 932-0647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2019
- **Last updated:** 08/14/2019