Provider Demographics
NPI:1548953177
Name:ADVANCED TRAINING CONSULTANTS LLC
Entity type:Organization
Organization Name:ADVANCED TRAINING CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MISTI
Authorized Official - Middle Name:BRIANA
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:623-203-1791
Mailing Address - Street 1:22220 W MARK LN
Mailing Address - Street 2:
Mailing Address - City:WITTMANN
Mailing Address - State:AZ
Mailing Address - Zip Code:85361-8793
Mailing Address - Country:US
Mailing Address - Phone:623-203-1791
Mailing Address - Fax:
Practice Address - Street 1:25546 N LAKE PLEASANT PKWY STE 1350-6
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-1370
Practice Address - Country:US
Practice Address - Phone:623-203-1791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADVANCED BEAUTY SPA LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty