Healthcare Provider Details
I. General information
NPI: 1477410116
Provider Name (Legal Business Name): TRINITY WELLNESS CENTER OF KENTUCKY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
114 RIVER DR
IRVINE KY
40336-1118
US
IV. Provider business mailing address
114 RIVER DR
IRVINE KY
40336-1118
US
V. Phone/Fax
- Phone: 606-717-1024
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TONYA
LUNSFORD
Title or Position: OWNER
Credential: LPCC-S
Phone: 859-779-3700