Organization Active NPI

Trinity Behavioral Health, LLC

Doing business as Trinity Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mandeville, LA
National Provider Identifier
1487774675
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TRINITY BEHAVIORAL HEALTH, LLC
Doing business as
Trinity Behavioral Health
Practice address
1350 Park Dr
Mandeville, LA 70471-3205
Phone
(985) 624-7956
Fax
(985) 624-9841
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Van Gerry Morris
Title
Manager
Phone
(985) 624-7956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1350 Park Dr
Mandeville, LA 70471-3205

Mailing address

1350 Park Dr
Mandeville, LA 70471-3205
Phone (985) 624-7956

Other names 1

  • Trinity Behavioral Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487774675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 PARK DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713205",
            "telephone_number": "985-624-7956",
            "fax_number": "985-624-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 PARK DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713205",
            "telephone_number": "985-624-7956",
            "fax_number": "985-624-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "VAN",
        "authorized_official_middle_name": "GERRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "985-624-7956",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.