Provider Demographics
NPI:1982294104
Name:BOWDEN, TRINITY SARAI
Entity Type:Individual
Prefix:
First Name:TRINITY
Middle Name:SARAI
Last Name:BOWDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:648 INDEPENDENCE PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-5208
Mailing Address - Country:US
Mailing Address - Phone:757-776-0790
Mailing Address - Fax:
Practice Address - Street 1:648 INDEPENDENCE PKWY STE 300
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-5208
Practice Address - Country:US
Practice Address - Phone:757-776-0790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician