Organization
MOXY UP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLEEN LAWRENCE MSSL, EJD (EXECUTIVE DIRECTOR)
(775) 790-7022
Entity
Organization
Contact information
Practice address
789 TILLMAN LN SPC C, GARDNERVILLE, NV 89460-8201
(775) 790-7022
Mailing address
PO BOX 6322, GARDNERVILLE, NV 89460-4605
(775) 790-7022
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/11/2023
Last updated
02/03/2026
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