Provider Demographics
NPI:1306223219
Name:GERBER-WINN, TINA
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:
Last Name:GERBER-WINN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3595 US HIGHWAY 50
Mailing Address - Street 2:STE 3
Mailing Address - City:SILVER SPRINGS
Mailing Address - State:NV
Mailing Address - Zip Code:89429-9613
Mailing Address - Country:US
Mailing Address - Phone:775-577-0319
Mailing Address - Fax:775-577-9571
Practice Address - Street 1:3595 US HIGHWAY 50
Practice Address - Street 2:STE 3
Practice Address - City:SILVER SPRINGS
Practice Address - State:NV
Practice Address - Zip Code:89429-9613
Practice Address - Country:US
Practice Address - Phone:775-577-0319
Practice Address - Fax:775-577-9571
Is Sole Proprietor?:No
Enumeration Date:2015-04-29
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV01184S101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health