Healthcare Provider Details

I. General information

NPI: 1003736372
Provider Name (Legal Business Name): TRINITY COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5954 LANDVIEW DR
ROANOKE VA
24018-7662
US

IV. Provider business mailing address

365 MANASSAS DRIVE
ROANOKE VA
24018
US

V. Phone/Fax

Practice location:
  • Phone: 540-750-6771
  • Fax:
Mailing address:
  • Phone: 540-750-6771
  • Fax:

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: KAREN HETHERINGTON
Title or Position: OWNER
Credential:
Phone: 540-750-6771