Provider Demographics
NPI:1346536240
Name:NEVADA PSYCHOTHERAPY SERVICES, A GILBERT-ELIOT PROF LLC
Entity Type:Organization
Organization Name:NEVADA PSYCHOTHERAPY SERVICES, A GILBERT-ELIOT PROF LLC
Other - Org Name:NEVADA PSYCHOTHERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TRUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:GILBERT-ELIOT
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LADC
Authorized Official - Phone:775-772-9017
Mailing Address - Street 1:458 COURT ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89501-1709
Mailing Address - Country:US
Mailing Address - Phone:775-772-9017
Mailing Address - Fax:775-323-2220
Practice Address - Street 1:458 COURT ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89501-1709
Practice Address - Country:US
Practice Address - Phone:775-772-9017
Practice Address - Fax:775-323-2220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5685-C1041C0700X
NV0828106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty