Healthcare Provider Details

I. General information

NPI: 1235666777
Provider Name (Legal Business Name): SCHATOYA RENE PRINCE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2017
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 S JONES BLVD
LAS VEGAS NV
89146-1260
US

IV. Provider business mailing address

6652 LAVENDER LILLY LN UNIT 1
NORTH LAS VEGAS NV
89084-2860
US

V. Phone/Fax

Practice location:
  • Phone: 725-309-7668
  • Fax:
Mailing address:
  • Phone: 702-806-3972
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2572
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: