Provider Demographics
NPI:1831329465
Name:TRINITY BAPTIST CHURCH
Entity type:Organization
Organization Name:TRINITY BAPTIST CHURCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUSELING AND PASTORAL CARE
Authorized Official - Prefix:MR
Authorized Official - First Name:CAREY
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:SKINNER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:806-372-2421
Mailing Address - Street 1:1601 I-40 W
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-1800
Mailing Address - Country:US
Mailing Address - Phone:806-372-2421
Mailing Address - Fax:806-372-2655
Practice Address - Street 1:1601 I-40 W
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-1800
Practice Address - Country:US
Practice Address - Phone:806-372-2421
Practice Address - Fax:806-372-2655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLPC15004251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable