Provider Demographics
NPI:1902534670
Name:FOR THE LOVE OF YOU COUNSELING
Entity Type:Organization
Organization Name:FOR THE LOVE OF YOU COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HALBERG
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:702-265-3255
Mailing Address - Street 1:8321 MOUNTAIN HEATHER CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-4521
Mailing Address - Country:US
Mailing Address - Phone:702-265-3255
Mailing Address - Fax:
Practice Address - Street 1:1840 E CALVADA BLVD STE 11
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-5865
Practice Address - Country:US
Practice Address - Phone:702-265-3255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-10
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1669724100Medicaid