# ST HUERTA FOUR SQUARE CLINICALS PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Four Square Clinicals
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154196632
- **Authorized official:** STEVEN THOMAS HUERTA DNP, PMHNP-BC (CLINICAL DIRECTOR)
- **Authorized official phone:** (775) 238-3082

## Contact information

- **Practice address:** 100 N ARLINGTON AVE STE 340A, RENO, NV 89501-1248
- **Practice address phone:** (775) 238-3082
- **Practice address fax:** (844) 872-5607
- **Mailing address:** 650 N ROSE DR STE 472, PLACENTIA, CA 92870-7513
- **Mailing address phone:** (775) 238-3082
- **Mailing address fax:** (844) 872-5607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 11/15/2023
- **Last updated:** 04/13/2026