Healthcare Provider Details

I. General information

NPI: 1407663909
Provider Name (Legal Business Name): TRINITY PSYCHIATRIC SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2024
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 KIRBY PKWY
MEMPHIS TN
38115-3721
US

IV. Provider business mailing address

5625 HEARTWOOD DR
MEMPHIS TN
38135-1011
US

V. Phone/Fax

Practice location:
  • Phone: 901-619-0061
  • Fax: 901-425-9802
Mailing address:
  • Phone: 901-619-0061
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. ALEXANDER N LABRADOR
Title or Position: PRESIDENT/CHIEF MEDICAL OFFICER
Credential: APN
Phone: 901-619-0061