| Lifequest Behavioal Health Care | |
|
770 Mill St Reno NV 89502-1321 | |
| (775) 636-7767 | |
| (702) 830-9741 |
| Full Name | Lifequest Behavioal Health Care |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 770 Mill St, Reno, Nevada |
| Authorized Official Name and Position | James Arthur Roets (MANAGING PARTNER) |
| Authorized Official Contact | 7028309740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifequest Behavioal Health Care 4780 Arville St Las Vegas NV 89103-5402 Ph: (702) 830-9740 | Lifequest Behavioal Health Care 770 Mill St Reno NV 89502-1321 Ph: (775) 636-7767 |
| NPI Number | 1033619697 |
|---|---|
| Provider Enumeration Date | 02/20/2018 |
| Last Update Date | 03/06/2020 |
| Certification Date | 03/06/2020 |
| Medicare PECOS PAC ID | 7113289422 |
|---|---|
| Medicare Enrollment ID | O20180327000969 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033619697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NV20121604166 (Nevada) | Primary |
| Provider Name | Senida Delossantos |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285031500 PECOS PAC ID: 7810409547 Enrollment ID: I20250626001670 |
| Provider Name | Shannon Shreve |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922490549 PECOS PAC ID: 4486150711 Enrollment ID: I20251003003964 |
| Provider Name | Geoffry Kettling |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1811537798 PECOS PAC ID: 8921583550 Enrollment ID: I20260331003790 |
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