Provider Demographics
NPI:1225409881
Name:SIERRA COUNSELING CENTER
Entity Type:Organization
Organization Name:SIERRA COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:MERRILL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MFT, LADC
Authorized Official - Phone:775-356-1908
Mailing Address - Street 1:1855 SULLIVAN LN
Mailing Address - Street 2:SUITE 145
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-2825
Mailing Address - Country:US
Mailing Address - Phone:775-356-1908
Mailing Address - Fax:775-356-3736
Practice Address - Street 1:1855 SULLIVAN LN
Practice Address - Street 2:SUITE 145
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-2825
Practice Address - Country:US
Practice Address - Phone:775-356-1908
Practice Address - Fax:775-356-3736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0810251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health