Provider Demographics
NPI:1497512529
Name:TROTMAN, ADRIANNE ALEXANDRIA (LCSWA)
Entity Type:Individual
Prefix:
First Name:ADRIANNE
Middle Name:ALEXANDRIA
Last Name:TROTMAN
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3622 LYCKAN PKWY STE 4005
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-2566
Mailing Address - Country:US
Mailing Address - Phone:919-999-7457
Mailing Address - Fax:
Practice Address - Street 1:3622 LYCKAN PKWY STE 4005
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2566
Practice Address - Country:US
Practice Address - Phone:919-999-7457
Practice Address - Fax:919-765-6192
Is Sole Proprietor?:No
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP019824101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health