Provider Demographics
NPI:1154621514
Name:BRIARWOOD
Entity type:Organization
Organization Name:BRIARWOOD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HR
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHLEIGH
Authorized Official - Middle Name:S
Authorized Official - Last Name:HEUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-324-1490
Mailing Address - Street 1:480 GALLETTI WAY
Mailing Address - Street 2:8C
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-5564
Mailing Address - Country:US
Mailing Address - Phone:775-324-1490
Mailing Address - Fax:775-324-1541
Practice Address - Street 1:480 GALLETTI WAY
Practice Address - Street 2:8C
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-5564
Practice Address - Country:US
Practice Address - Phone:775-324-1490
Practice Address - Fax:775-324-1541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVX101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty