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General NPI Number Information
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NPI Number | 1609388875
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Entity Type | Organization
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Legal Business Name | TRINITY ONE COUNSELING CENTER
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Dates
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Enumeration Date | 10/27/2017
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 410 STATE ST RM 3
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City | NORTH HAVEN
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State | CT
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Zip | 06473-3149
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Country | US
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Telephone | 475-999-4004
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Fax |
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Provider Business Mailing Address
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Address Line | 410 STATE ST RM 3
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City | NORTH HAVEN
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State | CT
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Zip | 06473-3149
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Country | US
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Telephone | 475-999-4004
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Fax |
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Authorized Official
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Title or Position | CEO, FOUNDER, COUNSELOR
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Name | PATRICIA MARIE JENKINS-SIMMONS
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Credential | LCSW, MIN
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Telephone | 475-999-4004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 009136
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License Number State | CT
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