Healthcare Provider Details

I. General information

NPI: 1780536383
Provider Name (Legal Business Name): TRINITY CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2026
Last Update Date: 02/14/2026
Certification Date: 02/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

640 HOLLY AVE
WINSTON SALEM NC
27101-2716
US

IV. Provider business mailing address

640 HOLLY AVE
WINSTON SALEM NC
27101-2716
US

V. Phone/Fax

Practice location:
  • Phone: 336-725-3999
  • Fax:
Mailing address:
  • Phone: 336-725-3999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER JON WILSON
Title or Position: STAFF PSYCHOLOGIST
Credential: PSYD, HSP-P
Phone: 612-275-0326