Organization Active NPI

Trinity Life Counseling, PLLC

  • Community/Behavioral Health Agency
  • Memphis, TN
National Provider Identifier
1609159870
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRINITY LIFE COUNSELING, PLLC
Practice address
4358 Rhodes Ave
Memphis, TN 38111-8155
Phone
(901) 832-0236
Fax
(901) 590-3807
NPI assigned
Sep 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Authorized official

Name
Mrs. Dorothy F Nichols, CERTIFICATE
Title
Member/Owner
Phone
(901) 832-0236

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4358 Rhodes Ave
Memphis, TN 38111-8155

Mailing address

4358 Rhodes Ave
Memphis, TN 38111-8155
Phone (901) 832-0236

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1609159870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4358 RHODES AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381118155",
            "telephone_number": "901-832-0236",
            "fax_number": "901-590-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4358 RHODES AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381118155",
            "telephone_number": "901-832-0236",
            "fax_number": "901-590-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY LIFE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "901-832-0236",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CERTIFICATE"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.