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BLUE SKIES PSYCHOLOGICAL SERVICES LLC NPI 1720560832


NPI Information

NPI: 1720560832
Provider Name: BLUE SKIES PSYCHOLOGICAL SERVICES, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3495 LAKESIDE DR # 1093
RENO, NV
ZIP 89509
Phone: (775) 297-8855
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BLUE SKIES PSYCHOLOGICAL SERVICES, LLC is a mental health (including community mental health center) clinic center in Reno, NV. BLUE SKIES PSYCHOLOGICAL SERVICES, LLC NPI is 1720560832. The provider is registered as an organization entity type.

The provider's business location address is:

3495 LAKESIDE DR # 1093
RENO, NV
ZIP 89509-841
Phone: (775) 297-8855

The provider's authorized official is Sean Dodge .
The authorized official title is Owner and has the following contact phone number (775) 297-8855.

The enumeration date for this NPI number is 9/5/2018 and was last updated on 9/5/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3261QR1300XClinic/CenterRural HealthNo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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