Organization
TRINITY INTEGRATIVE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DUKE LPC (DIRECTOR)
(903) 571-6555
Entity
Organization
Contact information
Practice address
12863 COUNTY ROAD 192, TYLER, TX 75703-6417
(903) 805-0229
Mailing address
6117 SUTHERLAND DR, TYLER, TX 75703-4654
(903) 571-6555
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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