Provider Demographics
NPI:1114560638
Name:TRIGG, TALIA (LPC-MHSP)
Entity Type:Individual
Prefix:
First Name:TALIA
Middle Name:
Last Name:TRIGG
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2198 JUDICIAL DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-3825
Mailing Address - Country:US
Mailing Address - Phone:901-295-4356
Mailing Address - Fax:
Practice Address - Street 1:8046 N BROTHER BLVD STE 105
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38133-2762
Practice Address - Country:US
Practice Address - Phone:901-779-3755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-28
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4820101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional