Healthcare Provider Details

I. General information

NPI: 1144080722
Provider Name (Legal Business Name): TRINITY SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2024
Last Update Date: 03/20/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 GLENWOOD AVE STE L01
JOLIET IL
60435-5676
US

IV. Provider business mailing address

301 VETERANS PKWY
NEW LENOX IL
60451-2899
US

V. Phone/Fax

Practice location:
  • Phone: 815-485-6197
  • Fax:
Mailing address:
  • Phone: 815-485-6197
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ROBERT TAYLOR
Title or Position: CFO
Credential:
Phone: 815-320-7190