Provider Demographics
NPI:1205155470
Name:HEALTHERAPY OF NEVADA
Entity type:Organization
Organization Name:HEALTHERAPY OF NEVADA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CTEI
Authorized Official - Prefix:MS
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PINDELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-598-9710
Mailing Address - Street 1:3275 LAKE SHORE DR
Mailing Address - Street 2:
Mailing Address - City:WASHOE VALLEY
Mailing Address - State:NV
Mailing Address - Zip Code:89704-9249
Mailing Address - Country:US
Mailing Address - Phone:775-849-3434
Mailing Address - Fax:
Practice Address - Street 1:3275 LAKE SHORE DR
Practice Address - Street 2:
Practice Address - City:WASHOE VALLEY
Practice Address - State:NV
Practice Address - Zip Code:89704-9249
Practice Address - Country:US
Practice Address - Phone:775-849-3434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-26
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI0175251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health