Healthcare Provider Details

I. General information

NPI: 1740097765
Provider Name (Legal Business Name): TRINITY WHOLE HEALTH CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2024
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2670 CRAIN HWY STE 408&409
WALDORF MD
20601-2806
US

IV. Provider business mailing address

2006 STILLWATER RD
ELDERSBURG MD
21784-6633
US

V. Phone/Fax

Practice location:
  • Phone: 410-725-5643
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: CORDILIA N NJOKU
Title or Position: CEO
Credential:
Phone: 410-605-7000