Provider Demographics
NPI:1063977411
Name:CENTERED HEALTH COUNSELING
Entity type:Organization
Organization Name:CENTERED HEALTH COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:A
Authorized Official - Last Name:NIEVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-528-6958
Mailing Address - Street 1:3975 N HUALAPAI WAY UNIT 252
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-7937
Mailing Address - Country:US
Mailing Address - Phone:702-528-6958
Mailing Address - Fax:
Practice Address - Street 1:3975 N HUALAPAI WAY UNIT 252
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-7937
Practice Address - Country:US
Practice Address - Phone:702-528-6958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-08
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health