Healthcare Provider Details

I. General information

NPI: 1962389668
Provider Name (Legal Business Name): TRISHS EMDR AND BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 W MAIN ST
FERNLEY NV
89408-7733
US

IV. Provider business mailing address

165 W MAIN ST
FERNLEY NV
89408-7733
US

V. Phone/Fax

Practice location:
  • Phone: 775-842-2363
  • Fax:
Mailing address:
  • Phone: 775-980-6999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA CATALINA CARNEY
Title or Position: THERAPIST
Credential: LCSW: 11089-C
Phone: 775-842-2363