TRINITY BEHAVIORAL HEALTH SERVICES LLC (NPI# 1013317445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013317445 |
| Entity Type | Organization |
| Organization Name | TRINITY BEHAVIORAL HEALTH SERVICES LLC |
| Practice Address |
151b Hatcher Ln Clarksville TN 37043 |
| Practice Telephone | 9319192641 |
| Practice Fax Number | 9319192643 |
| Mailing Telephone | 9319192641 |
| Mailing Fax Number | 9319192643 |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2016-10-31 |
| Authorized Official Name | MS. LA VAUN KELLEY (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9319192641 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
151B HATCHER LN |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| Find all providers in zip 37043 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316579253 | Connected Counseling, LLC | Community/Behavioral Health | 1816 Memorial Cir, Clarksville, TN 37043-4539 | 2020-02-09 |
| 1396138376 | Rondell Harju, Lcsw | Community/Behavioral Health | 4065 Challis Dr, Clarksville, TN 37040-2533 | 2015-03-14 |
| 1689077802 | Lemai Daisy | Community/Behavioral Health | 1473 Mutual Dr, Clarksville, TN 37042-7090 | 2014-10-01 |
| 1679973812 | Graham Martin | Community/Behavioral Health | 135 Westfield Ct, 320, Clarksville, TN 37040-5073 | 2014-08-25 |
| 1851714349 | Focused Aba Services LLC | Community/Behavioral Health | 3589 Highway 41a S, Clarksville, TN 37043-6805 | 2014-02-04 |
| 1760736078 | Family Preservation Services, Inc. | Community/Behavioral Health | 1696 Noblin Farm Rd, Clarksville, VA 23927-3101 | 2012-11-08 |
| 1639397318 | Centerstone | Community/Behavioral Health | 314 Ridgeline Dr, Clarksville, TN 37042-3765 | 2007-04-20 |
| 1659905396 | Western Arkansas Counseling and Guidance Center, Inc-rcf Clarksville | Community/Behavioral Health | 311 S Central St, Clarksville, AR 72830-3601 | 2020-03-02 |
| 1508327255 | Remade Counseling and Consulting, LLC | Community/Behavioral Health | 1820 Memorial Dr Ste 101, Clarksville, TN 37043-4693 | 2019-03-26 |
| 1932568490 | Caprice Riley | Community/Behavioral Health | 511 8th St, Clarksville, TN 37040-3093 | 2016-02-12 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.