Healthcare Provider Details

I. General information

NPI: 1790566701
Provider Name (Legal Business Name): SOPHIA BASSI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2023
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 AIRMOTIVE WAY STE 170
RENO NV
89502-3283
US

IV. Provider business mailing address

10837 WALNUT RIDGE DR
RENO NV
89521-8334
US

V. Phone/Fax

Practice location:
  • Phone: 775-389-5433
  • Fax:
Mailing address:
  • Phone: 925-980-9823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: