Organization Active NPI

Trinity House of Wellness, LLC.

  • Community/Behavioral Health Agency
  • East Point, GA
National Provider Identifier
1205176534
Registry record updated Feb 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRINITY HOUSE OF WELLNESS, LLC.
Practice address
2805 Harris St
East Point, GA 30344-3339
Phone
(916) 501-1795
NPI assigned
Feb 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2013

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

Authorized official

Name
Ms. Shamika C Dent
Title
Ceo
Phone
(916) 501-1795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X GA Primary

Addresses

Primary practice location

2805 Harris St
East Point, GA 30344-3339

Mailing address

2805 Harris St
East Point, GA 30344-3339
Phone (916) 501-1795

National Provider Directory

National Provider Directory

Locations

2805 Harris St
East Point, GA 30344
Phone (916) 501-1795

NPI Registry JSON

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

{
    "created_epoch": "1361577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361577600000",
    "number": "1205176534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 HARRIS ST",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443339",
            "telephone_number": "916-501-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 HARRIS ST",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443339",
            "telephone_number": "916-501-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HOUSE OF WELLNESS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-23",
        "last_updated": "2013-02-23",
        "status": "A",
        "authorized_official_last_name": "DENT",
        "authorized_official_first_name": "SHAMIKA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-501-1795",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2013; 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.