Provider Demographics
NPI:1356977417
Name:VIRTUAL TRAINING AND DEVELOPMENT SOLUTIONS, LLC.
Entity type:Organization
Organization Name:VIRTUAL TRAINING AND DEVELOPMENT SOLUTIONS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/EDUCATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DHSC MSED MSTD BS
Authorized Official - Phone:706-983-9096
Mailing Address - Street 1:PO BOX 8135
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29604-8135
Mailing Address - Country:US
Mailing Address - Phone:706-983-9096
Mailing Address - Fax:
Practice Address - Street 1:716 E FAIRFIELD RD STE 111
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-3688
Practice Address - Country:US
Practice Address - Phone:706-983-9096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty
No251K00000XAgenciesPublic Health or WelfareGroup - Multi-Specialty