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Organization
TRIVIUM MENTAL HEALTH AND WELLNESS LLC
Active
Organization
TRIVIUM MENTAL HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA WILBANKS PMHNP-BC (PMHNP-BC)
(907) 690-1226
Entity
Organization
Contact information
Practice address
12241 CRESTED BUTTE DR, EAGLE RIVER, AK 99577-7651
(206) 202-1124
(564) 204-3156
Mailing address
12241 CRESTED BUTTE DR, EAGLE RIVER, AK 99577-7651
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/26/2026
Last updated
09/26/2026
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