Provider Demographics
NPI:1477949386
Name:TRINITY HEALING & WELLNESS CENTER, INC.
Entity Type:Organization
Organization Name:TRINITY HEALING & WELLNESS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTOINETTE
Authorized Official - Middle Name:S
Authorized Official - Last Name:HEMMERICH
Authorized Official - Suffix:
Authorized Official - Credentials:LPCMH, NCC
Authorized Official - Phone:302-260-0605
Mailing Address - Street 1:900 PHILADELPHIA PIKE
Mailing Address - Street 2:SUITE C
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19809-2280
Mailing Address - Country:US
Mailing Address - Phone:302-260-0605
Mailing Address - Fax:302-397-2880
Practice Address - Street 1:900 PHILADELPHIA PIKE
Practice Address - Street 2:SUITE C
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19809-2280
Practice Address - Country:US
Practice Address - Phone:302-260-0605
Practice Address - Fax:302-397-2880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-08
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000672101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty