Provider Demographics
NPI:1699426239
Name:T & P WHOLE LIFE SERVCIES LLC
Entity type:Organization
Organization Name:T & P WHOLE LIFE SERVCIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:W
Authorized Official - Last Name:HEWITT
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:702-726-1242
Mailing Address - Street 1:844 N RAINBOW BLVD # 185
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89107-1103
Mailing Address - Country:US
Mailing Address - Phone:702-726-1242
Mailing Address - Fax:
Practice Address - Street 1:2595 S CIMARRON RD STE 200
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-2698
Practice Address - Country:US
Practice Address - Phone:702-726-1242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health