Provider Demographics
NPI:1912488545
Name:TRINITY FAMILY COUNSELING SOLUTIONS P.L.L.C.
Entity Type:Organization
Organization Name:TRINITY FAMILY COUNSELING SOLUTIONS P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMAYA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:HARDY
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC
Authorized Official - Phone:336-509-2619
Mailing Address - Street 1:1480 CONCORD PKWY N STE 350
Mailing Address - Street 2:#1076
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-0121
Mailing Address - Country:US
Mailing Address - Phone:336-509-2619
Mailing Address - Fax:
Practice Address - Street 1:1600 E WENDOVER AVE STE R
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-6877
Practice Address - Country:US
Practice Address - Phone:336-541-6242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-22
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty