Provider Demographics
NPI:1205010915
Name:TRINNA L.W. BURROWS, LSW, ACSW
Entity Type:Organization
Organization Name:TRINNA L.W. BURROWS, LSW, ACSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TRINNA
Authorized Official - Middle Name:LW
Authorized Official - Last Name:BURROWS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:918-743-9559
Mailing Address - Street 1:2121 S COLUMBIA AVE
Mailing Address - Street 2:SUITE 420
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-3505
Mailing Address - Country:US
Mailing Address - Phone:918-743-9559
Mailing Address - Fax:
Practice Address - Street 1:2121 S COLUMBIA AVE
Practice Address - Street 2:SUITE 420
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74114-3505
Practice Address - Country:US
Practice Address - Phone:918-743-9559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1304251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health