Provider Demographics
NPI:1588091318
Name:DELESPINASSE CONSULTING, INC
Entity type:Organization
Organization Name:DELESPINASSE CONSULTING, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:DELESPINASSE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:702-241-1249
Mailing Address - Street 1:900 KAREN AVE
Mailing Address - Street 2:SUITE C-207
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-1264
Mailing Address - Country:US
Mailing Address - Phone:702-241-1249
Mailing Address - Fax:702-310-6594
Practice Address - Street 1:7728 ROBINDALE CIR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-2063
Practice Address - Country:US
Practice Address - Phone:702-241-1249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-13
Last Update Date:2013-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5357-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty