NPIMap

Organization Active NPI

Trinity Therapy and Wellness LLC

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1023635331
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TRINITY THERAPY AND WELLNESS LLC
Practice address
10150 Highland Manor Dr Ste 200
Tampa, FL 33610-9712
Phone
(734) 502-5860
NPI assigned
Jul 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Authorized official

Name
Meta Petty, LMSW
Title
Owner
Phone
(734) 502-5860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

10150 Highland Manor Dr Ste 200
Tampa, FL 33610-9712

Mailing address

10150 Highland Manor Dr Ste 200
Tampa, FL 33610-9712
Phone (734) 502-5860

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1023635331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10150 HIGHLAND MANOR DR STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336109712",
            "telephone_number": "734-502-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 HIGHLAND MANOR DR STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336109712",
            "telephone_number": "734-502-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "META",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-502-5860",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.