Basic Information
| Provider Information | |||||||||
| NPI: | 1275841710 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | T-N-T RESILIENCE TRAINING, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1489 W WARM SPRINGS RD | ||||||||
| Address2: | STE 110 | ||||||||
| City: | HENDERSON | ||||||||
| State: | NV | ||||||||
| PostalCode: | 890147635 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7029668411 | ||||||||
| FaxNumber: | 8882411410 | ||||||||
| Practice Location | |||||||||
| Address1: | 1489 W WARM SPRINGS RD | ||||||||
| Address2: | STE 110 | ||||||||
| City: | HENDERSON | ||||||||
| State: | NV | ||||||||
| PostalCode: | 890147635 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7029668411 | ||||||||
| FaxNumber: | 8882411410 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/17/2010 | ||||||||
| LastUpdateDate: | 09/17/2010 | ||||||||
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| AuthorizedOfficialLastName: | SHAW | ||||||||
| AuthorizedOfficialFirstName: | TERRANCE | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7025617395 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | Y | Agencies | Community/Behavioral Health |
No ID Information.