| Inspire Sierra, Llc | |
|
770 Trademark Dr Ste 100 Reno NV 89521-5926 | |
| (775) 813-4288 | |
| Not Available |
| Full Name | Inspire Sierra, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 770 Trademark Dr Ste 100, Reno, Nevada |
| Authorized Official Name and Position | Nicole Pavlatos-delavoye (OWNER) |
| Authorized Official Contact | 7738277511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspire Sierra, Llc 770 Trademark Dr Ste 100 Reno NV 89521-5926 Ph: (775) 813-4288 | Inspire Sierra, Llc 770 Trademark Dr Ste 100 Reno NV 89521-5926 Ph: (775) 813-4288 |
| NPI Number | 1982336160 |
|---|---|
| Provider Enumeration Date | 06/27/2022 |
| Last Update Date | 06/27/2022 |
| Medicare PECOS PAC ID | 1355726159 |
|---|---|
| Medicare Enrollment ID | O20220914003519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982336160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Nicole S Pavlatos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194906792 PECOS PAC ID: 4284873621 Enrollment ID: I20130829000545 |
| Provider Name | Jon W. Ray |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447494232 PECOS PAC ID: 9537551593 Enrollment ID: I20240318000795 |
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