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Organization

TRINITY WELLNESS COUNSELING LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KERMINDRA L MABERRY LCSW (OWNER/ AUTHORIZED AGENT)
(985) 474-4958
Entity
Organization

Contact information

Practice address
902 C M FAGAN DR STE G, HAMMOND, LA 70403-6043
(985) 474-4958
(985) 318-7617
Mailing address
61540 BENNETT RD, AMITE, LA 70422
(985) 474-4958

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
01/21/2020
Last updated
06/26/2023
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