| Koinonia Family Services | |
|
1355 Airmotive Way Reno NV 89502-3218 | |
| (775) 826-1113 | |
| Not Available |
| Full Name | Koinonia Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1355 Airmotive Way, Reno, Nevada |
| Authorized Official Name and Position | Tiffany Danielle Sickler (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9166525802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koinonia Family Services 1050 Bible Way Reno NV 89502 Ph: (775) 826-1113 | Koinonia Family Services 1355 Airmotive Way Reno NV 89502-3218 Ph: (775) 826-1113 |
| NPI Number | 1396966123 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 11/27/2023 |
| Certification Date | 02/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396966123 | NPI | - | NPPES |
| 100507963 | Medicaid | NV | |
| 100507964 | Medicaid | NV | |
| 100509042 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Nevada) | Primary |
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