Healthcare Provider Details

I. General information

NPI: 1922459965
Provider Name (Legal Business Name): KAY RIEHM LCSW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2016
Last Update Date: 06/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 S MAINE ST
FALLON NV
89406-3340
US

IV. Provider business mailing address

270 S MAINE ST
FALLON NV
89406-3340
US

V. Phone/Fax

Practice location:
  • Phone: 775-423-5381
  • Fax: 775-201-2222
Mailing address:
  • Phone: 775-423-5381
  • Fax: 775-201-2222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4325-C
License Number StateNV

VIII. Authorized Official

Name: KAY D RIEHM
Title or Position: OWNER
Credential: LCSW
Phone: 775-423-5381