Basic Information
| Provider Information | |||||||||
| NPI: | 1295174704 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | TRINITY TREATMENT SERVICES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 725 ROSECREST RD | ||||||||
| Address2: | |||||||||
| City: | TIPP CITY | ||||||||
| State: | OH | ||||||||
| PostalCode: | 453716809 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1440 W MAIN ST | ||||||||
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| City: | TIPP CITY | ||||||||
| State: | OH | ||||||||
| PostalCode: | 453712804 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9376674612 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2013 | ||||||||
| LastUpdateDate: | 06/18/2013 | ||||||||
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| AuthorizedOfficialLastName: | SCHENK-GREIL | ||||||||
| AuthorizedOfficialFirstName: | VALERIE | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9376200338 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LPCC, NCC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | E.0500125 | OH | Y | Agencies | Community/Behavioral Health |
No ID Information.