| Trinity Living Life Llc | |
|
5401 S Kirkman Rd # 338 Orlando FL 32819-7940 | |
| (321) 340-1181 | |
| Not Available |
| Full Name | Trinity Living Life Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5401 S Kirkman Rd # 338, Orlando, Florida |
| Authorized Official Name and Position | Veronica L Dickens (OWNER/CEO) |
| Authorized Official Contact | 3213401181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Living Life Llc 4821 Sanoma Vlg Orlando FL 32808-1231 Ph: (407) 879-7028 | Trinity Living Life Llc 5401 S Kirkman Rd # 338 Orlando FL 32819-7940 Ph: (321) 340-1181 |
| NPI Number | 1174372502 |
|---|---|
| Provider Enumeration Date | 05/17/2024 |
| Last Update Date | 05/17/2024 |
| Certification Date | 05/16/2024 |
| Medicare PECOS PAC ID | 2668996208 |
|---|---|
| Medicare Enrollment ID | O20250404001783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174372502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Veronica Dickens |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1922465228 PECOS PAC ID: 3375088354 Enrollment ID: I20240715001355 |
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