Provider Demographics
NPI:1619427531
Name:TRINITY BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:TRINITY BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:PHAETRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMIEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:281-665-7346
Mailing Address - Street 1:2717 COMMERCIAL CENTER BLVD
Mailing Address - Street 2:SUITE E200
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-6410
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2717 COMMERCIAL CENTER BLVD
Practice Address - Street 2:SUITE E200
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-6410
Practice Address - Country:US
Practice Address - Phone:281-665-7346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-04
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management