Provider Demographics
NPI:1629210463
Name:TRINITY SOCIAL SERVICES, LLC
Entity Type:Organization
Organization Name:TRINITY SOCIAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:J
Authorized Official - Last Name:COOKE
Authorized Official - Suffix:
Authorized Official - Credentials:M ED
Authorized Official - Phone:404-409-5512
Mailing Address - Street 1:909 EAGLES LANDING PKWY
Mailing Address - Street 2:SUITE 400 - #136
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-7247
Mailing Address - Country:US
Mailing Address - Phone:404-409-5512
Mailing Address - Fax:
Practice Address - Street 1:909 EAGLES LANDING PKWY
Practice Address - Street 2:SUITE 400 - #136
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-7247
Practice Address - Country:US
Practice Address - Phone:404-409-5512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-25
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health