Provider Demographics
NPI:1811384316
Name:TRINITY THE TRIUNE, INC
Entity Type:Organization
Organization Name:TRINITY THE TRIUNE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LARONDA
Authorized Official - Middle Name:KRISHONDA
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:AA,BS,MA
Authorized Official - Phone:504-222-9063
Mailing Address - Street 1:6115 CARLISLE CT
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-7307
Mailing Address - Country:US
Mailing Address - Phone:504-222-9063
Mailing Address - Fax:504-301-4502
Practice Address - Street 1:6115 CARLISLE CT
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-7307
Practice Address - Country:US
Practice Address - Phone:504-222-9063
Practice Address - Fax:504-301-4502
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRINITY THE TRIUNE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty