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Organization

HEAL THERAPY OF NEVADA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUZANNE PINDELL (OWNER)
(775) 884-9911
Entity
Organization

Contact information

Practice address
405 N ROOP ST, CARSON CITY, NV 89701
(775) 884-9911
Mailing address
405 N ROOP ST, CARSON CITY, NV 89701-4778
(775) 884-9911

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
ASW 24336
CA
1041C0700X
Clinical Social Worker
Primary
IC-509
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1124219712
MEDICAID PROVIDER GROUP NPI
NV
Enumeration date
10/24/2008
Last updated
10/24/2008
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