Provider Demographics
NPI:1518682368
Name:TRIUMPHANT COUNSELING SERVICES ,LLC
Entity Type:Organization
Organization Name:TRIUMPHANT COUNSELING SERVICES ,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:NIESHA
Authorized Official - Middle Name:N
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC-S,LICDC-CS
Authorized Official - Phone:440-520-2524
Mailing Address - Street 1:291 E 222ND ST # 205
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44123-1718
Mailing Address - Country:US
Mailing Address - Phone:440-520-2524
Mailing Address - Fax:216-273-7887
Practice Address - Street 1:291 E 222ND ST # 205
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44123-1718
Practice Address - Country:US
Practice Address - Phone:440-520-2524
Practice Address - Fax:216-273-7887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty