Healthcare Provider Details

I. General information

NPI: 1831294958
Provider Name (Legal Business Name): COUNSELING OPPORTUNITIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 07/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3710 GRANT DR SUITE K
RENO NV
89509-5309
US

IV. Provider business mailing address

PO BOX 7782
RENO NV
89510-7782
US

V. Phone/Fax

Practice location:
  • Phone: 775-323-7799
  • Fax:
Mailing address:
  • Phone: 775-323-7799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number768-L
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number137-C
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1148-L
License Number StateNV
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY0121
License Number StateNV
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number01821-C
License Number StateNV
# 6
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number700
License Number StateNV

VIII. Authorized Official

Name: MS. TERRIE L. VELASQUEZ
Title or Position: VICE-PRESIDENT
Credential: MA
Phone: 775-323-7799