Provider Demographics
NPI:1013544873
Name:FIENE-SPAIN, TRISHA SUZANNE
Entity Type:Individual
Prefix:
First Name:TRISHA
Middle Name:SUZANNE
Last Name:FIENE-SPAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 SPRINGWAY DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-6830
Mailing Address - Country:US
Mailing Address - Phone:972-977-2006
Mailing Address - Fax:
Practice Address - Street 1:206 SPRINGWAY DR
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-6830
Practice Address - Country:US
Practice Address - Phone:972-977-2006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-23
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health