Organization Active NPI

Trinity Integrate Counseling Solutions, LLC

  • Community/Behavioral Health Agency
  • Vivian, LA
National Provider Identifier
1861910317
Registry record updated Sep 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRINITY INTEGRATE COUNSELING SOLUTIONS, LLC
Practice address
901B S Pine St
Vivian, LA 71082-3355
Phone
(318) 606-4375
NPI assigned
Sep 5, 2017
Last updated
Sep 5, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
TRINITY INTEGRATE SOLUTIONS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2017

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

Authorized official

Name
Shackquiel Williams, RN
Title
Administration
Phone
(318) 507-8185

Specialties & licenses 1

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

Addresses

Primary practice location

901B S Pine St
Vivian, LA 71082-3355

Mailing address

PO Box 133
Vivian, LA 71082-0133

National Provider Directory

National Provider Directory
Part of
Trinity Integrate Solutions LLC

Locations

901 S Pine St
#B
Vivian, LA 71082
Phone (318) 606-4375

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504569600000",
    "number": "1861910317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 133",
            "city": "VIVIAN",
            "state": "LA",
            "postal_code": "710820133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901B S PINE ST",
            "city": "VIVIAN",
            "state": "LA",
            "postal_code": "710823355",
            "telephone_number": "318-606-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY INTEGRATE COUNSELING SOLUTIONS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY INTEGRATE SOLUTIONS, LLC",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHACKQUIEL",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "318-507-8185",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vivian, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; 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.