Organization Active NPI

Trinity Innovative Support

  • Mental Health Counselor
  • Loganville, GA
National Provider Identifier
1003775990
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TRINITY INNOVATIVE SUPPORT
Practice address
605 Athens Hwy Unit 5-201
Loganville, GA 30052-4767
Phone
(404) 740-4910
NPI assigned
Jan 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Teresa Snow, LPCNPI 1336850445
Title
Owner
Phone
(404) 740-4910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

605 Athens Hwy Unit 5-201
Loganville, GA 30052-4767

Mailing address

605 Athens Hwy Unit 5-201
5-201
Loganville, GA 30052-4767
Phone (404) 740-4910

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1003775990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 ATHENS HWY UNIT 5-201",
            "address_2": "5-201",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524767",
            "telephone_number": "404-740-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 ATHENS HWY UNIT 5-201",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524767",
            "telephone_number": "404-740-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY INNOVATIVE SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-17",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-740-4910",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loganville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.