Healthcare Provider Details

I. General information

NPI: 1831371491
Provider Name (Legal Business Name): WASHOE COUNTY SENIOR SVC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2007
Last Update Date: 12/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 E 9TH ST
RENO NV
89512
US

IV. Provider business mailing address

1155 E 9TH ST
RENO NV
89512
US

V. Phone/Fax

Practice location:
  • Phone: 775-328-2575
  • Fax: 775-328-6192
Mailing address:
  • Phone: 775-328-2575
  • Fax: 775-328-6192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. LEE W DERBYSHIRE
Title or Position: INTERIOR DIRECTOR
Credential: MFT
Phone: 775-328-2575