Healthcare Provider Details

I. General information

NPI: 1902771538
Provider Name (Legal Business Name): RENO TAHOE RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/06/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

343 ELM ST SUITE 301
RENO NV
89503
US

IV. Provider business mailing address

CHARLENE LETCHFORD PO BOX 278
VERDI NV
89439
US

V. Phone/Fax

Practice location:
  • Phone: 775-745-8000
  • Fax: 775-221-7949
Mailing address:
  • Phone: 775-745-8000
  • Fax: 775-221-7949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: CHARLENE ANNE LETCHFORD
Title or Position: PRESIDENT, OWNER
Credential: MD
Phone: 301-752-7944