Healthcare Provider Details

I. General information

NPI: 1518600485
Provider Name (Legal Business Name): TNT GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2022
Last Update Date: 04/18/2022
Certification Date: 04/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3281 N DECATUR BLVD STE 210
LAS VEGAS NV
89130-3266
US

IV. Provider business mailing address

3281 N DECATUR BLVD STE 210
LAS VEGAS NV
89130-3266
US

V. Phone/Fax

Practice location:
  • Phone: 702-501-8252
  • Fax:
Mailing address:
  • Phone: 702-501-8252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: HEZEKIALA HENDRIX
Title or Position: PRESIDENT
Credential:
Phone: 702-501-8252