Provider Demographics
NPI:1821715426
Name:TRINITY BEHAVIORAL CONSULTING LLC
Entity Type:Organization
Organization Name:TRINITY BEHAVIORAL CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LADIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MURILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-331-6731
Mailing Address - Street 1:4355 E UNIVERSITY DR STE 108
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205-7000
Mailing Address - Country:US
Mailing Address - Phone:480-578-2971
Mailing Address - Fax:480-907-2365
Practice Address - Street 1:4355 E UNIVERSITY DR STE 108
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205-7000
Practice Address - Country:US
Practice Address - Phone:480-578-2971
Practice Address - Fax:480-907-2365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-24
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty