Organization
A DIVINE COUNSELING & CONSULTING SERVICES PROFESSIONAL LLC
Active
Organization
A DIVINE COUNSELING & CONSULTING SERVICES PROFESSIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHATANA HARRIS-COBB LCPC (OWNER)
(702) 635-7306
Entity
Organization
Contact information
Practice address
5135 CAMINO AL NORTE STE 258, NORTH LAS VEGAS, NV 89031-2419
(702) 635-7306
Mailing address
5332 MOUNTAIN GARLAND LN, N LAS VEGAS, NV 89081-4034
(702) 635-7306
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
01/19/2022
Last updated
10/26/2023
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