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Organization
TRIVIUM - NEW ENGLAND LLC
Active
Organization
TRIVIUM - NEW ENGLAND LLC
Active
Parent organization
TRIVIUM LIFE SERVICES
Other names
Trivium Integrative Mental Health, Averte
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRIVIUM LIFE SERVICES
Authorized official
ALEX WALKER (VP INFORMATION TECHNOLOGY)
(712) 256-7888
Entity
Organization
Contact information
Practice address
85 MECHANIC ST STE C3-5, LEBANON, NH 03766-1537
(603) 664-4600
Mailing address
2122 LOWER PLN, BRADFORD, VT 05033-8936
(802) 222-9393
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/30/2022
Last updated
12/10/2024
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