Healthcare Provider Details

I. General information

NPI: 1548188832
Provider Name (Legal Business Name): NEVADA TRAUMA THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1480 LA FRANCE LN
RENO NV
89506-7603
US

IV. Provider business mailing address

1480 LA FRANCE LN
RENO NV
89506-7603
US

V. Phone/Fax

Practice location:
  • Phone: 775-391-6125
  • Fax:
Mailing address:
  • Phone: 775-391-6125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SKYLAR PITTS
Title or Position: FOUNDER
Credential: CPC
Phone: 775-391-6125