Healthcare Provider Details

I. General information

NPI: 1386519437
Provider Name (Legal Business Name): TRIO COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2025
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 N CHRISMAN AVE
CLEVELAND MS
38732-2730
US

IV. Provider business mailing address

212 N CHRISMAN AVE
CLEVELAND MS
38732-2730
US

V. Phone/Fax

Practice location:
  • Phone: 662-400-3009
  • Fax:
Mailing address:
  • Phone: 662-400-3009
  • 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 Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SARAH MAKAMSON
Title or Position: MEMBER
Credential: LPC, RPT
Phone: 662-400-3009