| Trinity Behavioral Health, Llc | |
|
5413 George St Suite 2 New Port Richey FL 34652-4101 | |
| (727) 848-0840 | |
| (727) 255-5075 |
| Full Name | Trinity Behavioral Health, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5413 George St, New Port Richey, Florida |
| Authorized Official Name and Position | Robert W. Young (PH D) |
| Authorized Official Contact | 7278480840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Behavioral Health, Llc 5413 George St Suite 2 New Port Richey FL 34652-4101 Ph: (727) 848-0840 | Trinity Behavioral Health, Llc 5413 George St Suite 2 New Port Richey FL 34652-4101 Ph: (727) 848-0840 |
| NPI Number | 1326375296 |
|---|---|
| Provider Enumeration Date | 11/12/2009 |
| Last Update Date | 04/25/2012 |
| Medicare PECOS PAC ID | 6305972936 |
|---|---|
| Medicare Enrollment ID | O20100407000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326375296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY6915 (Florida) | Primary |
| Provider Name | Robert W Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891719977 PECOS PAC ID: 4385699552 Enrollment ID: I20050321000780 |
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