Provider Demographics
NPI:1861017634
Name:TRINITY CARE COUNSELING CORPORATION
Entity Type:Organization
Organization Name:TRINITY CARE COUNSELING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:GIBSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:678-923-2286
Mailing Address - Street 1:330 TIGRIS WAY
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-5907
Mailing Address - Country:US
Mailing Address - Phone:678-923-2286
Mailing Address - Fax:
Practice Address - Street 1:2475 NORTHWINDS PKWY STE 200
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-4844
Practice Address - Country:US
Practice Address - Phone:678-679-3234
Practice Address - Fax:678-679-3246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-08
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health