Provider Demographics
NPI:1205459062
Name:TRINITY COUNSELING AND WELLNESS SERVICES
Entity type:Organization
Organization Name:TRINITY COUNSELING AND WELLNESS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TRINITY
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:214-585-7369
Mailing Address - Street 1:1363 WINFDING BROOK CIRCLE
Mailing Address - Street 2:# 196A
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208
Mailing Address - Country:US
Mailing Address - Phone:214-585-7369
Mailing Address - Fax:
Practice Address - Street 1:1910 PACIFIC AVE STE 14160
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-4753
Practice Address - Country:US
Practice Address - Phone:214-585-7369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health