Provider Demographics
NPI:1831371491
Name:WASHOE COUNTY SENIOR SVC
Entity type:Organization
Organization Name:WASHOE COUNTY SENIOR SVC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIOR DIRECTOR
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:775-328-2575
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
Mailing Address - Country:US
Mailing Address - Phone:775-328-2575
Mailing Address - Fax:775-328-6192
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
Practice Address - Country:US
Practice Address - Phone:775-328-2575
Practice Address - Fax:775-328-6192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty