MEDICARE: DESERT INSIGHTS COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1558106245
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESERT INSIGHTS COUNSELING LLC

Provider Business Mailing Address
First Line	:	1344 DISC DR # 3127
Second Line	:
City	:	SPARKS
State	:	NV
Zip	:	89436-0684
Country	:	US
Telephone Number	:	949-603-2314
Fax Number	:	949-619-8133

Provider Business Practice Location Address
First Line	:	1005 TERMINAL WAY STE 172
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89502-2179
Country	:	US
Telephone Number	:	949-603-2314
Fax Number	:	949-619-8133

Authorized Official
Title or Position	:	OWNER
Name	:	MR. CHRISTIAN ERIC ERLENBUSH
Credential	:	LCSW
Telephone Number	:	949-603-2314

Provider Enumeration Date	:	06/26/2024
Last Update Date	:	05/28/2026

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