# THERACOUNSEL NV, INC.

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

## Provider details

- **NPI number:** 1255730727
- **Authorized official:** IHAB ISSA MBA (DIRECTOR)
- **Authorized official phone:** (954) 647-8578

## Contact information

- **Practice address:** 11241 CAMPANILE ST, LAS VEGAS, NV 89141-6047
- **Practice address phone:** (727) 452-9885
- **Mailing address:** 2808 NE 22ND ST, FT LAUDERDALE, FL 33305-2804
- **Mailing address phone:** (954) 647-8578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 6758-C | NV | Yes |

## Other

- **Enumeration date:** 08/20/2014
- **Last updated:** 08/20/2014