Healthcare Provider Details

I. General information

NPI: 1831593409
Provider Name (Legal Business Name): ELENI SEXTON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELENI SEXTON LCSW

II. Dates (important events)

Enumeration Date: 10/10/2014
Last Update Date: 11/07/2022
Certification Date: 11/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

580 W 5TH ST
RENO NV
89503-4407
US

IV. Provider business mailing address

1005 FOREST ST
RENO NV
89509-2706
US

V. Phone/Fax

Practice location:
  • Phone: 775-786-4673
  • Fax: 775-348-2889
Mailing address:
  • Phone: 775-846-8669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number7417-C
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: