# TRINITY BEHAVIORAL HEALTH CENTER INC

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

## Provider details

- **NPI number:** 1518242221
- **Authorized official:** KEVIN MICKLE (PRESIDENT)
- **Authorized official phone:** (919) 488-7139

## Contact information

- **Practice address:** 11550 COMMON OAKS DR, SUITE 108, RALEIGH, NC 27614-7298
- **Practice address phone:** (919) 488-7139
- **Mailing address:** 11550 COMMON OAKS DR, SUITE 200, RALEIGH, NC 27614-7298
- **Mailing address phone:** (919) 488-7139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/13/2011
- **Last updated:** 10/13/2011