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General NPI Number Information
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NPI Number | 1134549355
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Entity Type | Organization
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Legal Business Name | TRINITY WELLNESS PARTNERS, LLC
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Dates
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Enumeration Date | 04/28/2014
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Last Update Date | 04/28/2014
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Provider Practice Location Address
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Address Line | 924 N MAGNOLIA AVE SUITE 314
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City | ORLANDO
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State | FL
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Zip | 32803-3852
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Country | US
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Telephone | 407-718-5380
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Fax | 888-491-1341
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Provider Business Mailing Address
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Address Line | 924 N MAGNOLIA AVE SUITE 314
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City | ORLANDO
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State | FL
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Zip | 32803-3852
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Country | US
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Telephone | 407-718-5380
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Fax | 888-491-1341
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | ANDREA JACQUELINE GARWOOD
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Credential | LMHC
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Telephone | 407-718-5380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MC 5144
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License Number State | FL
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