| Sierra Sunrise Wellness Group, Llc | |
|
855 S Center St Ste 101 Reno NV 89501-2332 | |
| (775) 440-1256 | |
| Not Available |
| Full Name | Sierra Sunrise Wellness Group, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 855 S Center St Ste 101, Reno, Nevada |
| Authorized Official Name and Position | Nora Brucklacher (OWNER) |
| Authorized Official Contact | 7752240703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Sunrise Wellness Group, Llc 855 S Center St Ste 101 Reno NV 89501-2332 Ph: (775) 440-1256 | Sierra Sunrise Wellness Group, Llc 855 S Center St Ste 101 Reno NV 89501-2332 Ph: (775) 440-1256 |
| NPI Number | 1629646849 |
|---|---|
| Provider Enumeration Date | 06/14/2021 |
| Last Update Date | 06/14/2021 |
| Certification Date | 06/14/2021 |
| Medicare PECOS PAC ID | 2062873524 |
|---|---|
| Medicare Enrollment ID | O20230731002382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629646849 | NPI | - | NPPES |
| NV20131314685 | Other | NV | NV BUSINESS ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Robert Mcgahey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528476777 PECOS PAC ID: 4880055169 Enrollment ID: I20230802003970 |
| Provider Name | Nora Brucklacher |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255701652 PECOS PAC ID: 3971964438 Enrollment ID: I20240227000966 |
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