| Renovation Mental Health Services, Llc | |
|
495 Apple St Ste 100 Reno NV 89502-3527 | |
| (775) 525-0270 | |
| Not Available |
| Full Name | Renovation Mental Health Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 495 Apple St Ste 100, Reno, Nevada |
| Authorized Official Name and Position | Amanda Nielsen (OWNER) |
| Authorized Official Contact | 7755250270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renovation Mental Health Services, Llc 495 Apple St Ste 100 Reno NV 89502-3527 Ph: () - | Renovation Mental Health Services, Llc 495 Apple St Ste 100 Reno NV 89502-3527 Ph: (775) 525-0270 |
| NPI Number | 1649615683 |
|---|---|
| Provider Enumeration Date | 05/03/2013 |
| Last Update Date | 03/11/2022 |
| Certification Date | 03/11/2022 |
| Medicare PECOS PAC ID | 9638395080 |
|---|---|
| Medicare Enrollment ID | O20140722000441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649615683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NV20121629044 (Nevada) | Primary |
| Provider Name | Lorraine Kay Bonaldi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003123464 PECOS PAC ID: 6709061443 Enrollment ID: I20110425000250 |
| Provider Name | Leeanne Hemenway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033372115 PECOS PAC ID: 5991008898 Enrollment ID: I20160127001748 |
| Provider Name | Amanda Nielsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003182049 PECOS PAC ID: 2365838117 Enrollment ID: I20220405001289 |
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