Organization
LEEANNE HEMENWAY PHD PROF LLC
Active
Organization
LEEANNE HEMENWAY PHD PROF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA KENYON (CREDENTIALING AND BILLING MANAGER)
(775) 221-3281
Entity
Organization
Contact information
Practice address
210 MARSH AVE, SUITE 100, RENO, NV 89509-1647
(775) 336-9762
Mailing address
625 EUREKA AVE, #A, RENO, NV 89512-3457
(775) 221-3281
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PY0736
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0660
MFT LICENSE
NV
01
—
PY0736
PSYCHOLOGY LICENSE
NV
Enumeration date
07/08/2016
Last updated
07/09/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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