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Organization
TRIVANA HEALTH
Active
Organization
TRIVANA HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORIANA AUGUSTUS (OWNER)
(818) 477-7565
Entity
Organization
Contact information
Practice address
6850 MANHATTAN BLVD STE 300-2, FORT WORTH, TX 76120-1227
(562) 725-0889
Mailing address
2233 LUCAS DR, FORT WORTH, TX 76112-7918
(562) 725-0889
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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