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NPI 1487519328

NPI 1487519328 : TRINITY DIVERSFIFIED SOLUTIONS LLC : WADSWORTH, OH

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General NPI Number Information
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    NPI Number           |    1487519328
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRINITY DIVERSFIFIED SOLUTIONS LLC 
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Dates
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    Enumeration Date     |    12/23/2025
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    Last Update Date     |    12/23/2025
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Provider Practice Location Address
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    Address Line         |    140 WADSWORTH RD 
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    City                 |    WADSWORTH
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    State                |    OH
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    Zip                  |    44281-1400
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    Country              |    US
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    Telephone            |    234-426-8260
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    Fax                  |    330-334-2235
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Provider Business Mailing Address
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    Address Line         |    17100 MILES AVE 
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    City                 |    CLEVELAND
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    State                |    OH
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    Zip                  |    44128-2546
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    Country              |    US
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    Telephone            |    234-426-8260
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    Fax                  |    
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Authorized Official
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    Title or Position    |    COUNSELOR/CEO
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    Name                 |    MR. DAMION LASHAWN BOYD SR.
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    Credential           |    LPC
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    Telephone            |    216-647-7910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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