Organization
ESPERANZA FAMILY COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICA COPELAND (MANAGING MEMBER)
(702) 680-3586
Entity
Organization
Contact information
Practice address
2465 REYNOLDS AVE # 3, NORTH LAS VEGAS, NV 89030-7285
(702) 680-3586
Mailing address
2465 REYNOLDS AVE, NORTH LAS VEGAS, NV 89030-7285
(702) 680-3586
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20161335787
—
NV
Enumeration date
12/12/2016
Last updated
12/12/2016
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