Healthcare Provider Details

I. General information

NPI: 1144181454
Provider Name (Legal Business Name): SIERRA HEALING HOUSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

912 N DIVISION ST
CARSON CITY NV
89703-3913
US

IV. Provider business mailing address

912 N DIVISION ST
CARSON CITY NV
89703-3913
US

V. Phone/Fax

Practice location:
  • Phone: 775-235-6532
  • Fax: 775-208-1069
Mailing address:
  • Phone: 775-235-6532
  • Fax: 775-208-1069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. MAUREEN DELONGIS
Title or Position: CLINICAL DIRECTOR
Credential: LCSW
Phone: 775-235-6532