1780192278 NPI number — LABANTE COUNSELING & EDUCATION SERVICES

Table of content: (NPI 1780192278)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780192278 NPI number — LABANTE COUNSELING & EDUCATION SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LABANTE COUNSELING & EDUCATION SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780192278
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/14/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6121 MEADOW VIEW LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89103-1121
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-806-9143
Provider Business Mailing Address Fax Number:
866-280-9477

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4580 S EASTERN AVE STE 31
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89119-6100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
725-314-8472
Provider Business Practice Location Address Fax Number:
866-280-9477
Provider Enumeration Date:
01/18/2018

Additional Information

Authorized Official

Authorized Official Last Name:
AMAVIGAN
Authorized Official First Name:
AYELE
Authorized Official Middle Name:
ELAVAGNON
Authorized Official Title or Position:
MANAGING DIRECTOR
Authorized Official Telephone Number:
702-806-9143

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  5116-S , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com