Provider Demographics
NPI:1508095480
Name:TRENDLINE CONSULTING LLC
Entity Type:Organization
Organization Name:TRENDLINE CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:STOELB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-999-3568
Mailing Address - Street 1:1061 SIERRA CT
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MO
Mailing Address - Zip Code:63755-6100
Mailing Address - Country:US
Mailing Address - Phone:573-999-3568
Mailing Address - Fax:
Practice Address - Street 1:1061 SIERRA CT
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MO
Practice Address - Zip Code:63755-6100
Practice Address - Country:US
Practice Address - Phone:573-999-3568
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-13
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty