Healthcare Provider Details

I. General information

NPI: 1568549111
Provider Name (Legal Business Name): RITE OF PASSAGE ATHLETIC TRAINING CENTERS & SCHOOLS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100B ROSASCHI RD
YERINGTON NV
89447-8722
US

IV. Provider business mailing address

2560 BUSINESS PKWY STE B
MINDEN NV
89423-8961
US

V. Phone/Fax

Practice location:
  • Phone: 775-463-5111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNV
# 4
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MARANDA FIGULI
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 480-987-2080