MEDICARE: TRINA LYNN HODGE MS

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1720409055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRINA LYNN HODGE MS

Provider Business Mailing Address
First Line	:	590 NW PEACOCK BLVD STE 9
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34986-2213
Country	:	US
Telephone Number	:	772-344-4020
Fax Number	:

Provider Business Practice Location Address
First Line	:	590 NW PEACOCK BLVD STE 9
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34986-2213
Country	:	US
Telephone Number	:	772-344-4020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2014
Last Update Date	:	01/06/2014

Similar Medicare Providers

1164703088 — LILL E. CHAMORRO MD
Practice Location Address:

590 NW PEACOCK BLVD STE 10
PORT SAINT LUCIE, FL
34986-2213

Practice Phone: 954-497-3856
Practice Fax:

1558832899 — ANGELICA LOPEZ
Practice Location Address:

590 NW PEACOCK BLVD
PORT SAINT LUCIE, FL
34986-2213

Practice Phone: 772-905-8096
Practice Fax:

1740811538 — MS. ASHLEY BENNETT
Practice Location Address:

590 NW PEACOCK BLVD STE 1
PORT SAINT LUCIE, FL
34986-2213

Practice Phone: 772-348-0900
Practice Fax:

1881411890 — YUNAISY LOPEZ ACOSTA
Practice Location Address:

2213 SE MERRILL RD
PORT SAINT LUCIE, FL
34952-7026

Practice Phone: 786-440-4353
Practice Fax:

1912294158 — MR. ROBERT HENRY ANDERSON RCSW-I
Practice Location Address:

590 NW PEACOCK BLVD
PORT ST LUCIE, FL
34986-2213

Practice Phone: 772-344-4020
Practice Fax: 772-344-4038

1194012252 — CHILDRENS HOME SOCIETY TREASURE COAST
Practice Location Address:

590 NW PEACOCK BLVD , SUITE 9
PORT ST LUCIE, FL
34986-2213

Practice Phone: 772-344-4020
Practice Fax: 772-344-4038

Directions to “ TRINA LYNN HODGE MS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.