Provider Demographics
NPI:1457405938
Name:TRIMBLE, RENEE LASHAWN (LPC)
Entity Type:Individual
Prefix:MS
First Name:RENEE
Middle Name:LASHAWN
Last Name:TRIMBLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 W KEARNEY ST STE 300
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-3401
Mailing Address - Country:US
Mailing Address - Phone:910-229-7525
Mailing Address - Fax:
Practice Address - Street 1:502 KEARNY AVE
Practice Address - Street 2:MESQUITE VET CENTER
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-0001
Practice Address - Country:US
Practice Address - Phone:214-857-1254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5008101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional