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NPI Code Detail

MEDICARE: MS. SARA ANN REISS RC

MEDICARE: MS. SARA ANN REISS RC
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
1101YP2500XProfessional CounselorRC00059746WA
2225400000XRehabilitation Practitioner

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740466614
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SARA ANN REISS RC
Provider Business Mailing Address
First Line : 6889 S EASTERN AVE
Second Line : NEVADA BEHAVIORAL SOLUTIONS
City : LAS VEGAS
State : NV
Zip : 89119-4687
Country : US
Telephone Number : 702-434-1200
Fax Number :
Provider Business Practice Location Address
First Line : 6889 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-4687
Country : US
Telephone Number : 702-434-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2008
Last Update Date : 02/28/2014

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