| Sierra Serenity Providers, Llc. | |
|
515 E Gault Way Sparks NV 89431-2482 | |
| (775) 432-1035 | |
| (775) 384-6685 |
| Full Name | Sierra Serenity Providers, Llc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 515 E Gault Way, Sparks, Nevada |
| Authorized Official Name and Position | Erica Christine Young (OWNER) |
| Authorized Official Contact | 7754321035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Serenity Providers, Llc. Po Box 50174 Sparks NV 89435-0174 Ph: (775) 432-1035 | Sierra Serenity Providers, Llc. 515 E Gault Way Sparks NV 89431-2482 Ph: (775) 432-1035 |
| NPI Number | 1871021188 |
|---|---|
| Provider Enumeration Date | 05/31/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871021188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Nevada) | Primary |
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