Provider Demographics
NPI:1710572482
Name:INNER SOLUTIONS PSYCHOTHERAPY
Entity Type:Organization
Organization Name:INNER SOLUTIONS PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXA
Authorized Official - Middle Name:K
Authorized Official - Last Name:WALDMANN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:775-223-1009
Mailing Address - Street 1:62 S MADDUX DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89512-1831
Mailing Address - Country:US
Mailing Address - Phone:775-223-1009
Mailing Address - Fax:
Practice Address - Street 1:542 LANDER ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-1551
Practice Address - Country:US
Practice Address - Phone:775-223-1009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty