Provider Demographics
NPI:1306726195
Name:ALPENGLOW WELLNESS LLC
Entity type:Organization
Organization Name:ALPENGLOW WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INDIVIDUAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:NEJABAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-391-6078
Mailing Address - Street 1:5411 DAYBREAK DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-2808
Mailing Address - Country:US
Mailing Address - Phone:775-391-6078
Mailing Address - Fax:
Practice Address - Street 1:1675 VICTORIAN AVE
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-4822
Practice Address - Country:US
Practice Address - Phone:775-391-6078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-03
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty