Provider Demographics
NPI:1659913168
Name:COMPANIONS ALONG THE WAY
Entity Type:Organization
Organization Name:COMPANIONS ALONG THE WAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENIA
Authorized Official - Middle Name:JUANITA
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MFT/LCADC/PSYD
Authorized Official - Phone:775-440-9499
Mailing Address - Street 1:1650 EASTLAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:WASHOE VALLEY
Mailing Address - State:NV
Mailing Address - Zip Code:89704-9296
Mailing Address - Country:US
Mailing Address - Phone:775-440-9499
Mailing Address - Fax:
Practice Address - Street 1:595 HUMBOLDT ST # 2G1
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-1603
Practice Address - Country:US
Practice Address - Phone:775-384-7938
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-16
Last Update Date:2019-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty