# TRIVIUM LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CROSSROADS COUNSELING CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427463066
- **Authorized official:** TIMOTHY PERRY LCSW, LMFT (ADMINISTRATOR)
- **Authorized official phone:** (608) 755-5260

## Contact information

- **Practice address:** 778 LOIS DR, SUN PRAIRIE, WI 53590-1100
- **Practice address phone:** (608) 837-9112
- **Mailing address:** 17 S RIVER ST, SUITE 254, JANESVILLE, WI 53548-3860
- **Mailing address phone:** (608) 755-5260
- **Mailing address fax:** (608) 755-5267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 2868 | WI | Yes |

## Other

- **Enumeration date:** 06/23/2014
- **Last updated:** 06/23/2014