Healthcare Provider Details

I. General information

NPI: 1407774516
Provider Name (Legal Business Name): PATIENCE PERRY CPC-I
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2655 ENTERPRISE RD
RENO NV
89512-1666
US

IV. Provider business mailing address

2655 ENTERPRISE RD
RENO NV
89512-1666
US

V. Phone/Fax

Practice location:
  • Phone: 775-688-1600
  • Fax: 775-688-1515
Mailing address:
  • Phone: 775-688-1600
  • Fax: 775-688-1616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCI5819
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: