Organization
MY RESTORED SELF COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN M HILL LCPC, LCADC (OWNER)
(702) 741-7183
Entity
Organization
Contact information
Practice address
9509 WALKING SPIRIT CT, LAS VEGAS, NV 89129-7899
(702) 741-7183
Mailing address
9509 WALKING SPIRIT CT, LAS VEGAS, NV 89129-7899
(702) 741-7183
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
443-LC
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194068874
—
NV
Enumeration date
01/03/2018
Last updated
11/05/2019
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