Healthcare Provider Details

I. General information

NPI: 1235481979
Provider Name (Legal Business Name): LYON COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2012
Last Update Date: 02/08/2023
Certification Date: 02/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 LAKE ST
SILVER SPRINGS NV
89429-9038
US

IV. Provider business mailing address

PO BOX 330
SILVER SPRINGS NV
89429
US

V. Phone/Fax

Practice location:
  • Phone: 775-577-5009
  • Fax: 775-577-5093
Mailing address:
  • Phone: 775-577-4200
  • Fax: 775-577-3339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHAYLA HOLMES
Title or Position: DIRECTOR, HUMAN SERVICES
Credential:
Phone: 775-557-5009