Organization
COUNSELING AND NEURO DYNAMICS LLC
Active
Other names
COUNSELING and NEURO DYNAMICS LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
DEVONE VERSE PH.D./CPC (EXECUTIVE DIRECTOR)
(773) 619-2001
Entity
Organization
Contact information
Practice address
6655 W SAHARA AVE # 106, LAS VEGAS, NV 89146-0842
(773) 619-2001
Mailing address
5940 S RAINBOW BLVD STE 1004, LAS VEGAS, NV 89118-2506
(773) 619-2001
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
208D00000X
General Practice Physician
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV20191302412
NEVADA BUSINESS LICENSE
NV
Enumeration date
04/19/2019
Last updated
06/07/2021
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