Provider Demographics
NPI:1710447685
Name:THE COUNSELING EXCHANGE
Entity Type:Organization
Organization Name:THE COUNSELING EXCHANGE
Other - Org Name:RENO'S COUNSELING SPOT, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MONA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:702-353-6018
Mailing Address - Street 1:1201 TERMINAL WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-3420
Mailing Address - Country:US
Mailing Address - Phone:775-234-8551
Mailing Address - Fax:775-204-9475
Practice Address - Street 1:1201 TERMINAL WAY STE 100
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-3420
Practice Address - Country:US
Practice Address - Phone:775-234-8551
Practice Address - Fax:775-204-9475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-25
Last Update Date:2021-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1689975047OtherNPPES