Provider Demographics
NPI:1336534361
Name:GARRISON, WISKERCHEN & COATES, LTD
Entity type:Organization
Organization Name:GARRISON, WISKERCHEN & COATES, LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:WISKERCHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MFT, NCC
Authorized Official - Phone:775-525-1616
Mailing Address - Street 1:975 ROBERTA LN STE 104
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-6812
Mailing Address - Country:US
Mailing Address - Phone:775-525-1616
Mailing Address - Fax:775-201-0147
Practice Address - Street 1:975 ROBERTA LN STE 104
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-6812
Practice Address - Country:US
Practice Address - Phone:775-525-1616
Practice Address - Fax:775-201-0147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-06
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health