Provider Demographics
NPI:1497127286
Name:TRINITY PRESBYTERIAN CHURCH
Entity Type:Organization
Organization Name:TRINITY PRESBYTERIAN CHURCH
Other - Org Name:NEW CITY COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE PASTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:FIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-260-8819
Mailing Address - Street 1:PO BOX 5102
Mailing Address - Street 2:PO BOX 5102
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22905-5102
Mailing Address - Country:US
Mailing Address - Phone:434-977-3700
Mailing Address - Fax:
Practice Address - Street 1:3101 FONTAINE AVENUE EXTENDED
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-9618
Practice Address - Country:US
Practice Address - Phone:434-977-3700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRINITY PRESBYTERIAN CHURCH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-10-20
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty