Healthcare Provider Details

I. General information

NPI: 1801334255
Provider Name (Legal Business Name): SEQUEL ALLIANCE FAMILY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2017
Last Update Date: 07/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 W MOANA LN SUITE 2
RENO NV
89509-4775
US

IV. Provider business mailing address

1131 EAGLETREE LN SW
HUNTSVILLE AL
35801-6491
US

V. Phone/Fax

Practice location:
  • Phone: 775-337-2394
  • Fax: 775-337-9570
Mailing address:
  • Phone: 256-880-3339
  • Fax: 256-880-9569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberNV20141007166
License Number StateNV

VIII. Authorized Official

Name: RACHAEL MORASKY
Title or Position: DIRECTOR
Credential:
Phone: 775-337-2394