Organization · Type 2 NPI

Temple of the Lord Outreach Ministries Inc.

Counselor · Henderson, NV

NPI number 1629322367 Active

Practice location

94 Ancient Hills Ln
Henderson, NV 89074-1750

Call (702) 682-9225 Map

Mailing address

PO Box 94091
Las Vegas, NV 89193-4091

Specialties and licenses

Taxonomy	Code	License
Counselor Primary	101Y00000X	NV20051605735 (NV)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Another provider at this address

Temple of the Lord OutreachBehavior Analyst Henderson, NV NPI 1740564699

Other counselor providers in Henderson

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NPI record

NPI: 1629322367
Entity type: Organization (Type 2)
Issued: Nov 2, 2012
Last updated: Nov 2, 2012
Status: Active
Subpart: Yes of Temple of the Lord Outreach Ministries Inc.62866637

Other names

<unavail>
Agape House · doing business as

Authorized official

Mr. Dennis Gray
President
(702) 682-9225

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629322367

Temple of the Lord Outreach Ministries Inc.'s National Provider Identifier is 1629322367, issued on Nov 2, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Henderson, NV. The record was last updated on Nov 2, 2012.