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General NPI Number Information
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NPI Number | 1912863523
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Entity Type | Organization
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Legal Business Name | TRINITY HOLISTIC PSYCHIATRY A PROFESSIONAL NURSING CORPORATION
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Dates
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Enumeration Date | 12/27/2025
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Last Update Date | 12/27/2025
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Provider Practice Location Address
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Address Line | 717 K ST STE 425
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City | SACRAMENTO
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State | CA
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Zip | 95814-3477
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Country | US
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Telephone | 916-610-9401
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Fax |
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Provider Business Mailing Address
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Address Line | 717 K ST STE 425
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City | SACRAMENTO
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State | CA
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Zip | 95814-3477
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Country | US
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Telephone | 916-610-9401
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | MS. KIMBERLY LEWIS
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Credential | PMNHP-BC
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Telephone | 916-610-9401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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