Trinity Interactive Professional Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TRINITY INTERACTIVE PROFESSIONAL SERVICES, LLC

Doing business as

Trinity Interactive Professional Service, LLC

Practice address

610 Varsity Dr
Wilmington, NC 28403-8444

Phone

(910) 520-2921

Fax

(910) 793-2819

NPI assigned

Sep 11, 2009

Organization subpart

No

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

Authorized official

Name

Jesse James Tate Jr.

Title

Executive Director

Phone

(910) 520-2921

Specialties & licenses 1

Addresses

Other names 1

• Trinity Interactive Professional Service, LLC Doing business as

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1346573169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 VARSITY DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038444",
            "telephone_number": "910-520-2921",
            "fax_number": "910-793-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 VARSITY DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038444",
            "telephone_number": "910-520-2921",
            "fax_number": "910-793-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY INTERACTIVE PROFESSIONAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-520-2921",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Interactive Professional Service, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Beth Liana Trinker
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• Richard F. Trotta, MD

• Community/Behavioral Health Agency in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.