Healthcare Provider Details

I. General information

NPI: 1598574329
Provider Name (Legal Business Name): MELINDA D MORRISON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 KIETZKE LN STE N250
RENO NV
89502-5000
US

IV. Provider business mailing address

1020 HUMBOLDT ST APT 2
RENO NV
89509-2004
US

V. Phone/Fax

Practice location:
  • Phone: 775-507-7222
  • Fax:
Mailing address:
  • Phone: 559-362-5118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCI5163
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: