Healthcare Provider Details

I. General information

NPI: 1841815644
Provider Name (Legal Business Name): TRINITY RELATIONSHIP CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2020
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 PASEO REYES DR
ST AUGUSTINE FL
32095-8464
US

IV. Provider business mailing address

99 KING ST UNIT 186
ST AUGUSTINE FL
32085-7708
US

V. Phone/Fax

Practice location:
  • Phone: 727-946-1346
  • Fax:
Mailing address:
  • Phone: 727-946-1346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LARRY BAUMGARTNER
Title or Position: CEO
Credential: LMFT
Phone: 727-946-1346