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General NPI Number Information
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NPI Number | 1831347418
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Entity Type | Organization
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Legal Business Name | TRINITY COUNSELING SERVICES
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Dates
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Enumeration Date | 09/08/2008
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Last Update Date | 07/18/2013
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Provider Practice Location Address
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Address Line | W175N11163 STONEWOOD DR SUITE 202
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City | GERMANTOWN
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State | WI
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Zip | 53022-6500
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Country | US
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Telephone | 414-702-3154
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Fax |
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Provider Business Mailing Address
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Address Line | W175N11163 STONEWOOD DR SUITE 202
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City | GERMANTOWN
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State | WI
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Zip | 53022-6500
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Country | US
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Telephone | 414-702-3154
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Fax |
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR
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Name | SARAH M REIK
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Credential |
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Telephone | 414-702-3154
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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 | 3183-125
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License Number State | WI
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