# PROVIDER PROFILES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Counseling Connections
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518017342
- **Authorized official:** MS. OMEGA JODEAN GALLIANO MFT (VICE PRESIDENT)
- **Authorized official phone:** (702) 258-5711

## Contact information

- **Practice address:** 8350 W SAHARA AVE, SUITE 130, LAS VEGAS, NV 89117-8939
- **Practice address phone:** (702) 258-5711
- **Practice address fax:** (702) 258-1304
- **Mailing address:** 8350 W SAHARA AVE, SUITE 130, LAS VEGAS, NV 89117-8939
- **Mailing address phone:** (702) 258-5711
- **Mailing address fax:** (702) 258-1304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 0555 | NV | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 08/22/2020