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NPI 1114145752

NPI 1114145752 : SIERRA COUNTY BEHAVIORAL HEALTH : LOYALTON, CA

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General NPI Number Information
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    NPI Number           |    1114145752
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    Entity Type          |    Organization 
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    Legal Business Name  |    SIERRA COUNTY BEHAVIORAL HEALTH 
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Dates
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    Enumeration Date     |    04/20/2007
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    Last Update Date     |    10/21/2025
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Provider Practice Location Address
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    Address Line         |    704 MILL ST 
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    City                 |    LOYALTON
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    State                |    CA
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    Zip                  |    96118-0265
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    Country              |    US
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    Telephone            |    530-993-6746
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    Fax                  |    530-993-6759
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Provider Business Mailing Address
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    Address Line         |    PO BOX 265 
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    City                 |    LOYALTON
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    State                |    CA
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    Zip                  |    96118-0265
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    Country              |    US
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    Telephone            |    530-993-6746
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    Fax                  |    530-993-6759
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Authorized Official
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    Title or Position    |    BEHAVIORAL HEALTH DIRECTOR
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    Name                 |     SHERYLL  PRINZ-MCMILLAN 
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    Credential           |    LMFT
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    Telephone            |    530-993-6746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QR0400X
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    Taxonomy Name        |    Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    CA
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