Healthcare Provider Details

I. General information

NPI: 1679437461
Provider Name (Legal Business Name): TRINITY PSYCH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5821 PARK AVE UNIT 17772
MEMPHIS TN
38187-0100
US

IV. Provider business mailing address

5821 PARK AVE UNIT 17772
MEMPHIS TN
38187-0100
US

V. Phone/Fax

Practice location:
  • Phone: 901-446-3021
  • Fax: 901-425-9802
Mailing address:
  • Phone: 901-446-3021
  • Fax: 901-425-9802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDER N LABRADOR
Title or Position: CHIEF MANAGER
Credential: PMHNP
Phone: 901-446-3021