Provider Demographics
NPI:1962776120
Name:CARE COUNSELING, LLC
Entity type:Organization
Organization Name:CARE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LIC. MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:702-525-7878
Mailing Address - Street 1:6640 TURTLE HILL RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89110-5107
Mailing Address - Country:US
Mailing Address - Phone:702-525-7878
Mailing Address - Fax:
Practice Address - Street 1:6640 TURTLE HILL RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89110-5107
Practice Address - Country:US
Practice Address - Phone:702-525-7878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV01170106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1407096548Medicaid