Provider Demographics
NPI:1952572943
Name:PAT TRIM L L C S W P A
Entity Type:Organization
Organization Name:PAT TRIM L L C S W P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAT
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIM
Authorized Official - Suffix:
Authorized Official - Credentials:LSCW PA
Authorized Official - Phone:407-247-2715
Mailing Address - Street 1:603 N WYMORE RD
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-2828
Mailing Address - Country:US
Mailing Address - Phone:407-645-0000
Mailing Address - Fax:407-645-0327
Practice Address - Street 1:603 N WYMORE RD
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2828
Practice Address - Country:US
Practice Address - Phone:407-645-0000
Practice Address - Fax:407-645-0327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty