| Lake Tahoe Mental Health Center | |
|
175 W Us Highway 50 Stateline NV 89779 | |
| (775) 687-3671 | |
| (775) 687-6639 |
| Full Name | Lake Tahoe Mental Health Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 175 W Us Highway 50, Stateline, Nevada |
| Authorized Official Name and Position | Ray C Kendall (AGENCY DIRECTOR) |
| Authorized Official Contact | 7756877500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Tahoe Mental Health Center 4126 Technology Way Suite 102 Carson City NV 89706-2013 Ph: (776) 687-7573 | Lake Tahoe Mental Health Center 175 W Us Highway 50 Stateline NV 89779 Ph: (775) 687-3671 |
| NPI Number | 1992887822 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 10/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992887822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |