Provider Demographics
NPI:1215810742
Name:ICARE WELLNESS & COUNSELING LLC
Entity type:Organization
Organization Name:ICARE WELLNESS & COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BENCY
Authorized Official - Middle Name:MARTY
Authorized Official - Last Name:MANGLICMOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-350-1806
Mailing Address - Street 1:10629 CLEAR MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-7363
Mailing Address - Country:US
Mailing Address - Phone:714-350-1806
Mailing Address - Fax:
Practice Address - Street 1:10629 CLEAR MEADOWS DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134-7363
Practice Address - Country:US
Practice Address - Phone:714-350-1806
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health