T3SL LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NV20121040148 Issued in NV

Legal business name

T3SL LLC

Practice address

2020 Pinto LN
Las Vegas, NV 89106-4019

Phone

(702) 816-3658

Fax

(702) 816-4337

NPI assigned

Jan 30, 2012

Last updated

Mar 12, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Toshia D Shaw, MBA

Title

Ceo

Phone

(702) 816-3658

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1740552264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7473 W LAKE MEAD BLVD",
            "address_2": "STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280265",
            "telephone_number": "702-816-3658",
            "fax_number": "702-816-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 PINTO LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064019",
            "telephone_number": "702-816-3658",
            "fax_number": "702-816-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T3SL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "TOSHIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-816-3658",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20121040148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.