Provider Demographics
NPI:1689857161
Name:WASHOE COUNTY SENIOR SERVICES
Entity Type:Organization
Organization Name:WASHOE COUNTY SENIOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LEE
Authorized Official - Middle Name:W
Authorized Official - Last Name:DERBYSHIRE
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:775-328-3775
Mailing Address - Street 1:1155 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89512-2827
Mailing Address - Country:US
Mailing Address - Phone:775-328-3775
Mailing Address - Fax:775-328-6193
Practice Address - Street 1:1155 E 9TH ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89512-2827
Practice Address - Country:US
Practice Address - Phone:775-328-3775
Practice Address - Fax:775-328-6193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health