Healthcare Provider Details

I. General information

NPI: 1902288913
Provider Name (Legal Business Name): TRINITY TREAT M.A., QMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TRINITY NICOLE TREAT MA, LPC

II. Dates (important events)

Enumeration Date: 06/25/2015
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1280 PEARL ST
EUGENE OR
97401-3540
US

IV. Provider business mailing address

1280 PEARL ST
EUGENE OR
97401-3540
US

V. Phone/Fax

Practice location:
  • Phone: 541-515-2036
  • Fax:
Mailing address:
  • Phone: 541-515-2036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC4987
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: