Provider Demographics
NPI:1437339827
Name:TRINITY COUSELING SERVICE
Entity Type:Organization
Organization Name:TRINITY COUSELING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GEORGE-GUISER
Authorized Official - Suffix:
Authorized Official - Credentials:D MIN
Authorized Official - Phone:610-220-9130
Mailing Address - Street 1:1717 SWEDE RD
Mailing Address - Street 2:#207
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422
Mailing Address - Country:US
Mailing Address - Phone:610-220-9131
Mailing Address - Fax:610-731-0141
Practice Address - Street 1:1717 SWEDE RD
Practice Address - Street 2:#207
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422
Practice Address - Country:US
Practice Address - Phone:610-220-9130
Practice Address - Fax:610-731-0141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000331106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty