Healthcare Provider Details

I. General information

NPI: 1619893914
Provider Name (Legal Business Name): HUMAN AMELIORATION PROJECT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

253 CALIENTE ST
RENO NV
89509-2702
US

IV. Provider business mailing address

253 CALIENTE ST
RENO NV
89509-2702
US

V. Phone/Fax

Practice location:
  • Phone: 775-502-0102
  • Fax:
Mailing address:
  • Phone: 775-502-0102
  • Fax:

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 Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: NOELLE GRAVALLESE
Title or Position: PRESIDENT
Credential:
Phone: 775-502-0102