| Trinity Therapy And Wellness Llc | |
|
10150 Highland Manor Dr Ste 200 Tampa FL 33610-9712 | |
| (734) 502-5860 | |
| Not Available |
| Full Name | Trinity Therapy And Wellness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 10150 Highland Manor Dr Ste 200, Tampa, Florida |
| Authorized Official Name and Position | Meta Petty (OWNER) |
| Authorized Official Contact | 7345025860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Therapy And Wellness Llc 10150 Highland Manor Dr Ste 200 Tampa FL 33610-9712 Ph: (734) 502-5860 | Trinity Therapy And Wellness Llc 10150 Highland Manor Dr Ste 200 Tampa FL 33610-9712 Ph: (734) 502-5860 |
| NPI Number | 1023635331 |
|---|---|
| Provider Enumeration Date | 07/02/2020 |
| Last Update Date | 10/09/2020 |
| Certification Date | 10/09/2020 |
| Medicare PECOS PAC ID | 6901209899 |
|---|---|
| Medicare Enrollment ID | O20230221000655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023635331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Meta Petty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801377189 PECOS PAC ID: 1658615018 Enrollment ID: I20230221000754 |
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