Provider Demographics
NPI:1962674408
Name:JOSEPH L. TRIM, M.A., P.A.
Entity Type:Organization
Organization Name:JOSEPH L. TRIM, M.A., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:TRIM
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:407-645-0000
Mailing Address - Street 1:603 NORTH WYMORE ROAD
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789
Mailing Address - Country:US
Mailing Address - Phone:407-645-0000
Mailing Address - Fax:407-645-0327
Practice Address - Street 1:603 NORTH WYMORE ROAD
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32751
Practice Address - Country:US
Practice Address - Phone:407-645-0000
Practice Address - Fax:407-645-0327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH-2476101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty