Provider Demographics
NPI:1902634082
Name:MAYER THERAPY, AN INDIVIDUAL, MARRIAGE, AND FAMILY THERAPY PROFESSIONA
Entity type:Organization
Organization Name:MAYER THERAPY, AN INDIVIDUAL, MARRIAGE, AND FAMILY THERAPY PROFESSIONA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYER
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:775-234-8869
Mailing Address - Street 1:1100 SOLITUDE TRL UNIT 3075
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-9259
Mailing Address - Country:US
Mailing Address - Phone:775-234-8869
Mailing Address - Fax:
Practice Address - Street 1:1100 SOLITUDE TRL UNIT 3075
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-9259
Practice Address - Country:US
Practice Address - Phone:775-234-8869
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Single Specialty