Provider Demographics
NPI:1033904107
Name:CENTER FOR REPOSE OF MIND
Entity type:Organization
Organization Name:CENTER FOR REPOSE OF MIND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GEORGINA
Authorized Official - Middle Name:NOEMI
Authorized Official - Last Name:FONTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFT
Authorized Official - Phone:775-440-4977
Mailing Address - Street 1:3495 LAKESIDE DR # 1199
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-4841
Mailing Address - Country:US
Mailing Address - Phone:775-440-4977
Mailing Address - Fax:
Practice Address - Street 1:777 E WILLIAM ST STE 110
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89701-4057
Practice Address - Country:US
Practice Address - Phone:775-440-4977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty