Trinity Therapeutic Wellness Center LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TRINITY THERAPEUTIC WELLNESS CENTER LLC

Practice address

8400 N University Dr Ste 114
Tamarac, FL 33321-1700

Phone

(954) 562-1955

Fax

(954) 510-6935

NPI assigned

Oct 30, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Malcolm L Thomas Jr., LMHC, DMINNPI 1477153187

Title

Ceo, Clinician

Phone

(305) 308-2079

Specialties & licenses 4

Addresses

Electronic endpoints 1

Practitioners 1

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

• Malcolm L Thomas Jr.

  • Mental Health Counselor
  • Tamarac, FL
  • NPI 1477153187
  NPD Authorized official

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1497355044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 NW 16TH ST",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333135526",
            "telephone_number": "305-308-2079",
            "fax_number": "954-510-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 N UNIVERSITY DR STE 114",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211700",
            "telephone_number": "954-562-1955",
            "fax_number": "954-510-6935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3939 Hollywood Blvd Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330216749",
            "country_code": "US",
            "telephone_number": "954-562-1955",
            "fax_number": "954-510-6935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRINITY THERAPEUTIC WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2021-09-23",
        "certification_date": "2020-11-15",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO, CLINICIAN",
        "authorized_official_telephone_number": "305-308-2079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LMHC, DMIN"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "infor@ttwellnesscennter.com",
            "affiliation": "N",
            "endpointDescription": "365 encryption",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8400 N University Dr Ste 114",
            "city": "Tamarac",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333211700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.