MEDICARE: THERAPY & TRAINING CENTERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740769553
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPY & TRAINING CENTERS

Provider Business Mailing Address
First Line	:	4200 PARADISE RD APT 2012
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-6555
Country	:	US
Telephone Number	:	702-334-7769
Fax Number	:	702-380-8256

Provider Business Practice Location Address
First Line	:	828 E FLAMINGO RD APT 121
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-7309
Country	:	US
Telephone Number	:	702-334-7769
Fax Number	:	702-380-8256

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROXANA N MONSIVAIS
Credential	:
Telephone Number	:	702-334-7769

Provider Enumeration Date	:	08/13/2018
Last Update Date	:	08/13/2018

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