Provider Demographics
NPI:1851957765
Name:TRINITY EMOTIONAL RESILIENCE SERVICES LLC
Entity Type:Organization
Organization Name:TRINITY EMOTIONAL RESILIENCE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-513-4210
Mailing Address - Street 1:410 FOULK RD STE 200B
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3802
Mailing Address - Country:US
Mailing Address - Phone:302-762-6675
Mailing Address - Fax:
Practice Address - Street 1:410 FOULK RD STE 200B
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3802
Practice Address - Country:US
Practice Address - Phone:302-762-6675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1295740033OtherOWNER NPI