Healthcare Provider Details

I. General information

NPI: 1508185539
Provider Name (Legal Business Name): RURAL NEVADA COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2010
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 S. MAIN ST. SUITE C
YERINGTON NV
89447
US

IV. Provider business mailing address

720 S MAIN ST STE C
YERINGTON NV
89447-2474
US

V. Phone/Fax

Practice location:
  • Phone: 775-463-6597
  • Fax: 775-463-6598
Mailing address:
  • Phone: 775-463-6597
  • Fax: 775-463-6598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNV

VIII. Authorized Official

Name: JESSICA LYNN MIRANDA
Title or Position: BILLING SPECIALIST
Credential:
Phone: 775-463-6597