Provider Demographics
NPI:1689065203
Name:LOFTWINDS VENTURES
Entity type:Organization
Organization Name:LOFTWINDS VENTURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:LOFTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-843-3001
Mailing Address - Street 1:1261 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89512-2903
Mailing Address - Country:US
Mailing Address - Phone:775-322-8900
Mailing Address - Fax:775-322-8906
Practice Address - Street 1:1261 E 9TH ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89512-2903
Practice Address - Country:US
Practice Address - Phone:775-322-8900
Practice Address - Fax:775-322-8906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-18
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0592101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty