# TRINITY BEHAVIORAL HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023432135
- **Authorized official:** MRS. PHYLANDRIA HUDSON LCSW (OWNER/CEO)
- **Authorized official phone:** (601) 942-1129

## Contact information

- **Practice address:** 1618 PEAR ORCHARD PL, JACKSON, MS 39211-2206
- **Practice address phone:** (601) 942-1129
- **Mailing address:** 1618 PEAR ORCHARD PL, JACKSON, MS 39211-2206
- **Mailing address phone:** (601) 942-1129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | C-5832 | MS | Yes |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | NULL | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | — | — |

## Other

- **Enumeration date:** 02/10/2014
- **Last updated:** 02/10/2014