Healthcare Provider Details

I. General information

NPI: 1730093832
Provider Name (Legal Business Name): TRINITY OAKS BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10611 FISHERS PEAK DR
BAKERSFIELD CA
93312-6341
US

IV. Provider business mailing address

10611 FISHERS PEAK DR
BAKERSFIELD CA
93312-6341
US

V. Phone/Fax

Practice location:
  • Phone: 661-677-3700
  • Fax:
Mailing address:
  • Phone: 661-677-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARISSA ALVIDREZ
Title or Position: PRESIDENT
Credential: MSW, LCSW
Phone: 661-677-3700