Organization Name: | TRINITY PROFESSIONAL COUNSELING SERVICES |
NPI Number: | 1093172694 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER DENINE SMITH (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 502 Astor St Wadesboro |
State: | NC US |
Postal Code: | 281702050 |
Phone Number: | 7046901272 |
Fax Number: | |
NPI Enumeration Date: | 01/27/2016 |
NPI Last Update Date: | 01/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 8727 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |