Organization
DESERT SAGE RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BLACKSTONE (PRACTICE MANAGER)
(775) 562-4509
Entity
Organization
Contact information
Practice address
834 WILLOW ST, RENO, NV 89502-1304
(775) 562-4509
(775) 800-7033
Mailing address
834 WILLOW ST, RENO, NV 89502-1304
(775) 562-4509
(775) 800-7033
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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