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Organization

TRIVIUM LIFE SERVICES

Active
Parent organization
TRIVIUM LIFE SERVICES
Organization subpart
Yes

Provider details

NPI number
Legal business name
TRIVIUM LIFE SERVICES
Authorized official
MS. MICHELLE FRANCESCA SCHALLER LPC, LMHP (DIRECTOR OF RCM)
(712) 355-8480
Entity
Organization

Contact information

Practice address
835 GORDON DR, SIOUX CITY, IA 51101-1829
(712) 522-3346
Mailing address
4201 RIVERS EDGE PKWY STE 200, COUNCIL BLUFFS, IA 51501-2515
(712) 355-8480
(712) 256-6502

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
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
04/26/2021
Last updated
05/21/2025
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