Organization
TRINITY LIFE COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHY F NICHOLS CERTIFICATE (MEMBER/OWNER)
(901) 832-0236
Entity
Organization
Contact information
Practice address
4358 RHODES AVE, MEMPHIS, TN 38111-8155
(901) 832-0236
(901) 590-3807
Mailing address
4358 RHODES AVE, MEMPHIS, TN 38111-8155
(901) 832-0236
(901) 590-3807
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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