# HEALING LIGHT

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

## Provider details

- **NPI number:** 1366048043
- **Authorized official:** MRS. KANA NOOTENBOOM LICENSED MFT (CLINICAL DIRECTOR)
- **Authorized official phone:** (949) 419-5491

## Contact information

- **Practice address:** 2637 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-4835
- **Practice address phone:** (702) 716-0908
- **Practice address fax:** (702) 550-4774
- **Mailing address:** 2637 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-4835
- **Mailing address phone:** (702) 716-0908
- **Mailing address fax:** (702) 550-4774

## 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 | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP1600X | Pastoral Counselor | — | NULL | — |
| 101YP1600X | Pastoral Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 101YS0200X | School Counselor | — | NULL | — |
| 101YS0200X | School Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106E00000X | Assistant Behavior Analyst | — | NULL | — |
| 106E00000X | Assistant Behavior Analyst | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 106S00000X | Behavior Technician | — | NULL | — |
| 106S00000X | Behavior Technician | — | — | — |
| 133N00000X | Nutritionist | — | NULL | — |
| 133N00000X | Nutritionist | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |

## Other

- **Enumeration date:** 12/08/2020
- **Last updated:** 12/21/2020