Healthcare Provider Details

I. General information

NPI: 1033480975
Provider Name (Legal Business Name): CAROL SCHAYE R.N. L.A.D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CAROL SCHAYE-VIEGENER R.N. - L.A.D.C.

II. Dates (important events)

Enumeration Date: 01/24/2012
Last Update Date: 10/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 MARSH AVE.
RENO NV
89509
US

IV. Provider business mailing address

223 MARSH AVE.
RENO NV
89509
US

V. Phone/Fax

Practice location:
  • Phone: 775-240-5251
  • Fax: 775-688-2004
Mailing address:
  • Phone: 775-240-5251
  • Fax: 775-688-2004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberRN19018
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLADC401-L
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: