Healthcare Provider Details

I. General information

NPI: 1366084972
Provider Name (Legal Business Name): GLOBAL RESOURCES AND SUPPORTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2019
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2610 W HORIZON RIDGE PKWY STE 200
HENDERSON NV
89052-2870
US

IV. Provider business mailing address

2610 W HORIZON RIDGE PKWY STE 200
HENDERSON NV
89052-2870
US

V. Phone/Fax

Practice location:
  • Phone: 725-867-3338
  • Fax:
Mailing address:
  • Phone: 725-867-3338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: TONYA HEADLEY COPPIN
Title or Position: CEO
Credential: MS.ED
Phone: 443-813-9800