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NPI Code Detail

MEDICARE: TRUMPET BEHAVIORAL HEALTH, LLC

MEDICARE: TRUMPET BEHAVIORAL HEALTH, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1376368837
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRUMPET BEHAVIORAL HEALTH, LLC
Provider Business Mailing Address
First Line : 300 INTERNATIONAL PKWY STE 200
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-5028
Country : US
Telephone Number : 832-288-4761
Fax Number :
Provider Business Practice Location Address
First Line : 2150 LELARAY ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-2808
Country : US
Telephone Number : 303-989-8169
Fax Number :
Authorized Official
Title or Position : CREDENTIALING MANAGER
Name : NICKI KEATING
Credential :
Telephone Number : 303-989-8169
Provider Enumeration Date : 11/20/2024
Last Update Date : 03/04/2026

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