Organization
HEALING WITH GRACE, LLC
Active
Other names
HWG
Organization subpart
No
Provider details
NPI number
Authorized official
KANA NOOTENBOOM MFT (CLINICAL DIRECTOR)
(702) 772-9552
Entity
Organization
Contact information
Practice address
2637 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-4835
(702) 716-0908
Mailing address
2637 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-4835
(702) 772-9552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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