Provider Demographics
NPI:1831688589
Name:RESOURCES MENTAL HEALTH
Entity type:Organization
Organization Name:RESOURCES MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QMHP
Authorized Official - Prefix:
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:
Authorized Official - Last Name:GROCK
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT LADC
Authorized Official - Phone:775-432-1700
Mailing Address - Street 1:1273 MARNE DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-3228
Mailing Address - Country:US
Mailing Address - Phone:775-432-1700
Mailing Address - Fax:
Practice Address - Street 1:1273 MARNE DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-3228
Practice Address - Country:US
Practice Address - Phone:775-432-1700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-08
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health