Healthcare Provider Details

I. General information

NPI: 1952666109
Provider Name (Legal Business Name): SUMI ANN OKUMA-WRIGHT BA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2012
Last Update Date: 04/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4773 CAUGHLIN PKWY STE 2
RENO NV
89519-1012
US

IV. Provider business mailing address

4773 CAUGHLIN PKWY STE 2
RENO NV
89519-1012
US

V. Phone/Fax

Practice location:
  • Phone: 775-772-2216
  • Fax: 541-479-6329
Mailing address:
  • Phone: 775-772-2216
  • Fax: 541-479-6329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: