Provider Demographics
NPI:1841816584
Name:HOLLINSHED, RITA RENEE (MS, CGS)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:RENEE
Last Name:HOLLINSHED
Suffix:
Gender:F
Credentials:MS, CGS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 KEDDIE ST
Mailing Address - Street 2:
Mailing Address - City:FALLON
Mailing Address - State:NV
Mailing Address - Zip Code:89406-2820
Mailing Address - Country:US
Mailing Address - Phone:775-423-7141
Mailing Address - Fax:775-423-4020
Practice Address - Street 1:141 KEDDIE ST
Practice Address - Street 2:
Practice Address - City:FALLON
Practice Address - State:NV
Practice Address - Zip Code:89406-2820
Practice Address - Country:US
Practice Address - Phone:775-423-7141
Practice Address - Fax:775-423-4020
Is Sole Proprietor?:No
Enumeration Date:2020-06-18
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV101YM0800X
WACG6076042101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)