Provider Demographics
NPI:1649740754
Name:REACHING FOR INDEPENDENCE, LLC
Entity Type:Organization
Organization Name:REACHING FOR INDEPENDENCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GIRARDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-762-1952
Mailing Address - Street 1:1758 DONEGAN ST
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89434-8851
Mailing Address - Country:US
Mailing Address - Phone:775-762-1952
Mailing Address - Fax:
Practice Address - Street 1:1758 DONEGAN ST
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89434-8851
Practice Address - Country:US
Practice Address - Phone:775-762-1952
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-01
Last Update Date:2018-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health