Provider Demographics
NPI:1801631643
Name:TRIUNITY COUNSELING SERVICES
Entity type:Organization
Organization Name:TRIUNITY COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:RUZVIDZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-212-9175
Mailing Address - Street 1:700 E PARK BLVD STE 206
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-5472
Mailing Address - Country:US
Mailing Address - Phone:972-212-9175
Mailing Address - Fax:
Practice Address - Street 1:700 E PARK BLVD STE 206
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-5472
Practice Address - Country:US
Practice Address - Phone:972-212-9175
Practice Address - Fax:469-440-7570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty