Healthcare Provider Details

I. General information

NPI: 1285319509
Provider Name (Legal Business Name): TRINITY COUNSELING MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2023
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 W MAIN ST
EMMETT ID
83617-2935
US

IV. Provider business mailing address

PO BOX 163
EMMETT ID
83617-0163
US

V. Phone/Fax

Practice location:
  • Phone: 208-329-8421
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE LANGLEY
Title or Position: EMPLOYEE
Credential: LPC
Phone: 208-329-8421