Basic Information
| Provider Information | |||||||||
| NPI: | 1063038917 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GOING | ||||||||
| FirstName: | HELEN | ||||||||
| MiddleName: | RUTH | ||||||||
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| Credential: | LCSW-I | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1555 RIDGEVIEW DR APT 150 | ||||||||
| Address2: | |||||||||
| City: | RENO | ||||||||
| State: | NV | ||||||||
| PostalCode: | 895196232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7753560371 | ||||||||
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| Practice Location | |||||||||
| Address1: | 860 TYLER WAY | ||||||||
| Address2: | |||||||||
| City: | SPARKS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 894312172 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7753560371 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/17/2020 | ||||||||
| LastUpdateDate: | 06/17/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 06/17/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 8699-S | NV | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.