Healthcare Provider Details

I. General information

NPI: 1255001061
Provider Name (Legal Business Name): HILLARY HARRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2021
Last Update Date: 10/11/2026
Certification Date: 10/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 FLINT ST
RENO NV
89501-2007
US

IV. Provider business mailing address

2394 SUNRISE PASS RD
MINDEN NV
89423-7001
US

V. Phone/Fax

Practice location:
  • Phone: 775-235-2205
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCP6348
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: