| Trivanta Health LLC | |
|
4200 Parliament Pl Ste 430a-53 Lanham MD 20706-1803 | |
| (202) 643-0406 | |
| Not Available |
| Full Name | Trivanta Health LLC |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4200 Parliament Pl Ste 430a-53, Lanham, Maryland |
| Authorized Official Name and Position | Mark Young (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 3057858545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trivanta Health LLC 10611 Eastland Cir Upper Marlboro MD 20772-8507 Ph: (202) 643-0406 | Trivanta Health LLC 4200 Parliament Pl Ste 430a-53 Lanham MD 20706-1803 Ph: (202) 643-0406 |
| NPI Number | 1578490918 |
|---|---|
| Provider Enumeration Date | 05/08/2026 |
| Last Update Date | 05/08/2026 |
| Certification Date | 05/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578490918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
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