# TRIVIUM MENTAL HEALTH AND WELLNESS LLC

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

## Provider details

- **NPI number:** 1659284941
- **Authorized official:** ANGELA WILBANKS PMHNP-BC (PMHNP-BC)
- **Authorized official phone:** (907) 690-1226

## Contact information

- **Practice address:** 12241 CRESTED BUTTE DR, EAGLE RIVER, AK 99577-7651
- **Practice address phone:** (206) 202-1124
- **Practice address fax:** (564) 204-3156
- **Mailing address:** 12241 CRESTED BUTTE DR, EAGLE RIVER, AK 99577-7651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/26/2026
- **Last updated:** 09/26/2026