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Organization
HEALING WITH GRACE, LLC
Active
Organization
HEALING WITH GRACE, LLC
Active
Other names
HWG
Organization subpart
No
Provider details
NPI number
Authorized official
KANA NOOTENBOOM MFT (CLINICAL DIRECTOR)
(702) 772-9552
Entity
Organization
Contact information
Practice address
2637 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-4835
(702) 716-0908
Mailing address
2637 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-4835
(702) 772-9552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
NULL
1041S0200X
School Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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