Provider Demographics
NPI:1780926543
Name:TRINITY FAMILY SERVICES LLC
Entity type:Organization
Organization Name:TRINITY FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAROLYN
Authorized Official - Middle Name:INEZ
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:757-746-3777
Mailing Address - Street 1:2019 CUNNINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-3323
Mailing Address - Country:US
Mailing Address - Phone:757-251-6465
Mailing Address - Fax:757-251-6457
Practice Address - Street 1:2019 CUNNINGHAM DR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-3323
Practice Address - Country:US
Practice Address - Phone:757-251-6465
Practice Address - Fax:757-251-6457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA175703001101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty