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CANDLELIGHT MENTAL HEALTH COUNSELING CENTER LLC
NPI 1164089488
Counselor - Mental Health in Las Vegas, NV

Active since May 22, 2019
5258 S EASTERN AVE STE 105, LAS VEGAS, NV 89119(702) 464-5080 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Candlelight Mental Health Counseling Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDLELIGHT MENTAL HEALTH COUNSELING CENTER LLC (NPI 1164089488) is a healthcare organization registered as a mental health in Las Vegas, Nevada and active in the NPI registry since May 2019. The organization lists Shiba Neomi Amezcua, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164089488
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCANDLELIGHT MENTAL HEALTH COUNSELING CENTER LLC
Location Address5258 S EASTERN AVE STE 105Las Vegas, NV 89119-2327
Mailing Address700 Rocky Trail RdHenderson, NV 89014-0321 · (702) 738-9064
Phone(702) 464-5080
Organization SubpartNo
Authorized OfficialShiba Neomi AmezcuaCeo · (702) 738-9064
Enumeration DateMay 22, 2019
✔ NPI 1164089488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5258 S EASTERN AVE STE 105, Las Vegas, NV 89119
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Other Identifiers 1

MedicaidNV20191376022NV

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIDGE OF HOPE COUNSELING PCA
Home Health
5258 S EASTERN AVE STE 105
LAS VEGAS, NV 89119
Clark County (702) 464-5080
ANITRA EGNOR
Behavior Analyst
5258 S EASTERN AVE STE 105
LAS VEGAS, NV 89119
Clark County (702) 464-5080
RYAN GAMO
Rehabilitation Practitioner
5258 S EASTERN AVE STE 105
LAS VEGAS, NV 89119
Clark County (702) 883-8950
TRACEY VOOGT
Rehabilitation Practitioner
5258 S EASTERN AVE STE 105
LAS VEGAS, NV 89119
Clark County (702) 464-5080
SHIBA AMEZCUA
Counselor (Mental Health)
5258 S EASTERN AVE STE 105
LAS VEGAS, NV 89119
Clark County (702) 464-5080
MS. KATRINA MARISA HAUSMAN
Case Manager/Care Coordinator
5258 S EASTERN AVE STE 105
LAS VEGAS, NV 89119
Clark County (702) 464-5080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candlelight Mental Health Counseling Center LLC's NPI number?

The NPI number for Candlelight Mental Health Counseling Center LLC is 1164089488. It was assigned to this organization in the NPPES registry on May 22, 2019.

Where is Candlelight Mental Health Counseling Center LLC located?

Candlelight Mental Health Counseling Center LLC is located at 5258 S Eastern Ave Ste 105, Las Vegas, NV 89119. The listed phone number is (702) 464-5080.

What is Candlelight Mental Health Counseling Center LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Candlelight Mental Health Counseling Center LLC was last updated on May 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.