# EQUANIMUS BEHAVIORAL HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457011504
- **Authorized official:** TIPHANIE MAY LCSW (CLINICAL DIRECTOR)
- **Authorized official phone:** (775) 799-0985

## Contact information

- **Practice address:** 1000 N DIVISION ST STE 102G, CARSON CITY, NV 89703-3928
- **Practice address phone:** (775) 799-0985
- **Practice address fax:** (775) 799-0985
- **Mailing address:** 1000 N DIVISION ST STE 102G, CARSON CITY, NV 89703-3928
- **Mailing address phone:** (775) 345-5531
- **Mailing address fax:** (775) 260-0717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 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