# COUNSELING AND NEURO DYNAMICS, INC.

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

## Provider details

- **NPI number:** 1619686557
- **Authorized official:** DR. DEVONE VERSE SR. PHD (DIRECTOR)
- **Authorized official phone:** (773) 619-2001

## Contact information

- **Practice address:** 100 OCEANGATE STE 1200, LONG BEACH, CA 90802-4324
- **Practice address phone:** (562) 714-2146
- **Practice address fax:** (708) 824-0555
- **Mailing address:** 2760 LAKE SAHARA DR STE 106, LAS VEGAS, NV 89117-3438
- **Mailing address phone:** (562) 714-2146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/18/2022
- **Last updated:** 09/08/2026