# FAIRCLOUGH CONSULTING SERVICES, LLC

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

## Provider details

- **NPI number:** 1679437453
- **Authorized official:** DR. KEITH ANTHONY FAIRCLOUGH JR. EDD, CPC, LMHC, ACS (CEO/COUNSELOR)
- **Authorized official phone:** (561) 309-3507

## Contact information

- **Practice address:** 1300 S JONES BLVD, LAS VEGAS, NV 89146-1205
- **Practice address phone:** (561) 309-3507
- **Practice address fax:** (702) 975-1022
- **Mailing address:** 9224 TUDOR PARK PL, LAS VEGAS, NV 89145-8726
- **Mailing address phone:** (561) 309-3507
- **Mailing address fax:** (702) 975-1022

## Taxonomy

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

## Other

- **Enumeration date:** 12/15/2025
- **Last updated:** 12/15/2025