Healthcare Provider Details

I. General information

NPI: 1245781160
Provider Name (Legal Business Name): MEDTRANS BEHAVIORAL NEVADA CASAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2016
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 MILL ST STE 100
RENO NV
89502-1463
US

IV. Provider business mailing address

3312 W CHARLESTON BLVD
LAS VEGAS NV
89102-1829
US

V. Phone/Fax

Practice location:
  • Phone: 775-538-6700
  • Fax: 725-433-8734
Mailing address:
  • Phone: 702-291-7121
  • Fax: 725-433-8734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SYMON GARRAEZ
Title or Position: RCM MANAGER
Credential:
Phone: 720-835-5915