Healthcare Provider Details

I. General information

NPI: 1487519328
Provider Name (Legal Business Name): TRINITY DIVERSFIFIED SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2025
Last Update Date: 12/23/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 WADSWORTH RD
WADSWORTH OH
44281-1400
US

IV. Provider business mailing address

17100 MILES AVE
CLEVELAND OH
44128-2546
US

V. Phone/Fax

Practice location:
  • Phone: 234-426-8260
  • Fax: 330-334-2235
Mailing address:
  • Phone: 234-426-8260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. DAMION LASHAWN BOYD SR.
Title or Position: COUNSELOR/CEO
Credential: LPC
Phone: 216-647-7910