Provider Demographics
NPI:1346006665
Name:TRINITY LOVE COUNSELING
Entity Type:Organization
Organization Name:TRINITY LOVE COUNSELING
Other - Org Name:TRINITY LOVE WOOLERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRINITY
Authorized Official - Middle Name:LOVE
Authorized Official - Last Name:WOOLERY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW, LADC
Authorized Official - Phone:612-234-7122
Mailing Address - Street 1:595 SELBY AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-1730
Mailing Address - Country:US
Mailing Address - Phone:612-234-7122
Mailing Address - Fax:
Practice Address - Street 1:595 SELBY AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-1730
Practice Address - Country:US
Practice Address - Phone:612-234-7122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-23
Last Update Date:2024-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty