Organization
COMMUNITY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA A LUCERO (BILLING MANAGER)
(702) 369-8700
Entity
Organization
Contact information
Practice address
714 E SAHARA AVE, LAS VEGAS, NV 89104-2942
(702) 369-8700
(702) 369-8489
Mailing address
714 E SAHARA AVE, LAS VEGAS, NV 89104-2942
(702) 369-8700
(702) 369-8489
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100504583
—
NV
05
—
100508254
—
NV
05
—
100508255
—
NV
05
—
100508257
—
NV
05
—
100508258
—
NV
05
—
100509187
—
NV
05
—
100509188
—
NV
Enumeration date
01/23/2007
Last updated
07/21/2022
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