Healthcare Provider Details

I. General information

NPI: 1982915542
Provider Name (Legal Business Name): THE NATIONAL TRAINING INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2010
Last Update Date: 06/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8934 VIA TUSCANY DR
BOYNTON BEACH FL
33472-7142
US

IV. Provider business mailing address

8934 VIA TUSCANY DR
BOYNTON BEACH FL
33472-7142
US

V. Phone/Fax

Practice location:
  • Phone: 561-733-5256
  • Fax: 561-735-0431
Mailing address:
  • Phone: 561-733-5256
  • Fax: 561-735-0431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. BARRY M GREGORY
Title or Position: PRESIDENT
Credential: ED.D, ME.D, LMHC, NC
Phone: 561-733-5256