Organization
RENOVATION MENTAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA NIELSEN LCSW (OWNER)
(775) 525-0270
Entity
Organization
Contact information
Practice address
495 APPLE ST STE 100, RENO, NV 89502-3527
(775) 525-0270
Mailing address
495 APPLE ST STE 100, RENO, NV 89502-3527
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NV20121629044
NV
Other
Enumeration date
05/03/2013
Last updated
03/11/2022
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