Healthcare Provider Details

I. General information

NPI: 1114145752
Provider Name (Legal Business Name): SIERRA COUNTY BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

704 MILL ST
LOYALTON CA
96118-0265
US

IV. Provider business mailing address

PO BOX 265
LOYALTON CA
96118-0265
US

V. Phone/Fax

Practice location:
  • Phone: 530-993-6746
  • Fax: 530-993-6759
Mailing address:
  • Phone: 530-993-6746
  • Fax: 530-993-6759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHERYLL PRINZ-MCMILLAN
Title or Position: BEHAVIORAL HEALTH DIRECTOR
Credential: LMFT
Phone: 530-993-6746