Healthcare Provider Details

I. General information

NPI: 1447645346
Provider Name (Legal Business Name): WALTER WILLIAM SAUNDERS PHD, LCSW, LCADC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2015
Last Update Date: 03/22/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 S PRATT AVE
CARSON CITY NV
89701-4730
US

IV. Provider business mailing address

6919 SACRED CIR
SPANISH SPRINGS NV
89436-5470
US

V. Phone/Fax

Practice location:
  • Phone: 775-882-3945
  • Fax:
Mailing address:
  • Phone: 775-342-9473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number10313-C
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number07258-LC
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10313-C
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: