Healthcare Provider Details

I. General information

NPI: 1245501477
Provider Name (Legal Business Name): LAYCIE DANIELLE HUTCHINSON MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2012
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9160 DOUBLE DIAMOND PKWY STE 200
RENO NV
89521-4968
US

IV. Provider business mailing address

9160 DOUBLE DIAMOND PKWY STE 200
RENO NV
89521-4968
US

V. Phone/Fax

Practice location:
  • Phone: 775-895-0712
  • Fax:
Mailing address:
  • Phone: 775-895-0712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: