Provider Demographics
NPI:1851733042
Name:OPEN ARMS COUNSELING LLC
Entity type:Organization
Organization Name:OPEN ARMS COUNSELING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOCCOLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:253-778-3275
Mailing Address - Street 1:1785 E SAHARA AVE STE 340
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104-3717
Mailing Address - Country:US
Mailing Address - Phone:702-823-4300
Mailing Address - Fax:702-906-1844
Practice Address - Street 1:1785 E SAHARA AVE STE 340
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89104-3717
Practice Address - Country:US
Practice Address - Phone:702-823-4300
Practice Address - Fax:702-906-1844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-29
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X, 364SP0808X
NVNV20131448851251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100532590Medicaid