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Organization
EQUANIMUS BEHAVIORAL HEALTH, LLC
Active
Organization
EQUANIMUS BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIPHANIE MAY LCSW (CLINICAL DIRECTOR)
(775) 799-0985
Entity
Organization
Contact information
Practice address
1000 N DIVISION ST STE 102G, CARSON CITY, NV 89703-3928
(775) 799-0985
(775) 799-0985
Mailing address
1000 N DIVISION ST STE 102G, CARSON CITY, NV 89703-3928
(775) 345-5531
(775) 260-0717
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
NULL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
NULL
2084P0802X
Addiction Psychiatry Physician
—
—
364SP0813X
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
—
NULL
364SP0813X
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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