Individual
ADAM EDWARD TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RSPS
Contact information
Practice address
11910 GREENVILLE AVE STE 511, DALLAS, TX 75243-9388
(214) 937-9180
(214) 253-8017
Mailing address
11910 GREENVILLE AVE STE 511, DALLAS, TX 75243-9388
(214) 937-9180
(214) 253-8017
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
1246-0521
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1246-0521
TEXAS CERTIFICATION BOARD
TX
Enumeration date
08/05/2022
Last updated
08/05/2022
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