# HEALING WITH GRACE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HWG
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477281624
- **Authorized official:** KANA NOOTENBOOM MFT (CLINICAL DIRECTOR)
- **Authorized official phone:** (702) 772-9552

## Contact information

- **Practice address:** 2637 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-4835
- **Practice address phone:** (702) 716-0908
- **Mailing address:** 2637 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-4835
- **Mailing address phone:** (702) 772-9552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 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