Organization Name: | TRINITY THERAPY SERVICES INC |
NPI Number: | 1184817462 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANDREW C LAWRENCE (OWNER) |
Mailing Address: | 124 E Jarman St Ste B Hazlehurst |
State: | GA US |
Postal Code: | 315396133 |
Phone Number: | 9123752009 |
Fax Number: | 9123790081 |
NPI Enumeration Date: | 08/21/2007 |
NPI Last Update Date: | 10/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |