Provider Demographics
NPI:1831794593
Name:PRICE, TIRA (LMSW, CSWI)
Entity type:Individual
Prefix:
First Name:TIRA
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:LMSW, CSWI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 W LIBERTY ST STE LL2
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89501-2067
Mailing Address - Country:US
Mailing Address - Phone:775-525-8103
Mailing Address - Fax:
Practice Address - Street 1:201 W LIBERTY ST STE LL2
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89501-2067
Practice Address - Country:US
Practice Address - Phone:775-525-8103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11709-M1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical