Organization
STATE OF NEVADA
Active
Other names
Northern Nevada Adult Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN BYRD JD, LCSW (INTERIM AGENCY MANAGER)
(775) 688-3321
Entity
Organization
Contact information
Practice address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-0400
(775) 688-0434
Mailing address
4150 TECHNOLOGY WAY, STE:300, CARSON CITY, NV 89706-2026
(775) 684-4051
(775) 684-5966
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
652HOS-14
NV
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001316864
—
NV
05
—
001416864
—
NV
05
—
002016864
—
NV
05
—
002816864
—
NV
05
—
005416864
—
NV
05
—
100501303
—
NV
05
—
100503395
—
NV
01
—
VN29400029400
MEDICARE/MEDICARE PIN
NV
Enumeration date
07/12/2005
Last updated
05/24/2024
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