Provider Demographics
NPI:1366876161
Name:DAYTON VALLEY FAMILY THERAPY
Entity type:Organization
Organization Name:DAYTON VALLEY FAMILY THERAPY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JOEY
Authorized Official - Middle Name:LORRAINE
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-461-2094
Mailing Address - Street 1:246 DAYTON VALLEY RD
Mailing Address - Street 2:SUITE 102-A
Mailing Address - City:DAYTON
Mailing Address - State:NV
Mailing Address - Zip Code:89403-8923
Mailing Address - Country:US
Mailing Address - Phone:775-461-2094
Mailing Address - Fax:775-246-0851
Practice Address - Street 1:246 DAYTON VALLEY RD
Practice Address - Street 2:SUITE 102-A
Practice Address - City:DAYTON
Practice Address - State:NV
Practice Address - Zip Code:89403-8923
Practice Address - Country:US
Practice Address - Phone:775-461-2094
Practice Address - Fax:775-246-0851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI0435106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty