Provider Demographics
NPI:1033976113
Name:TRI-THERAPY, PLLC
Entity Type:Organization
Organization Name:TRI-THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:TROTTER
Authorized Official - Suffix:
Authorized Official - Credentials:LPCA
Authorized Official - Phone:214-794-1542
Mailing Address - Street 1:2422 MAGIC VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-6946
Mailing Address - Country:US
Mailing Address - Phone:214-794-1542
Mailing Address - Fax:
Practice Address - Street 1:2422 MAGIC VALLEY LN
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-6946
Practice Address - Country:US
Practice Address - Phone:214-794-1542
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)