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NPI Code Detail

MEDICARE: TRINITY CMHC INC

MEDICARE: TRINITY CMHC INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)605171-8FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124034798
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRINITY CMHC INC
Provider Business Mailing Address
First Line : 6175 NW 153RD ST
Second Line : STE 205
City : MIAMI LAKES
State : FL
Zip : 33014-2435
Country : US
Telephone Number : 786-546-7801
Fax Number : 305-512-5390
Provider Business Practice Location Address
First Line : 6175 NW 153RD ST
Second Line : SUITE 205
City : MIAMI LAKES
State : FL
Zip : 33014-2435
Country : US
Telephone Number : 786-546-7801
Fax Number : 305-512-5390
Authorized Official
Title or Position : CEO
Name : MRS. SARAI NAMMUR
Credential : LMHC
Telephone Number : 786-546-7801
Provider Enumeration Date : 08/01/2006
Last Update Date : 10/22/2007

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Directions to “TRINITY CMHC INC ” Practice Location

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