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NPI Code Detail

MEDICARE: TRINITY ALTERNATIVE HEALING LLC

MEDICARE: TRINITY ALTERNATIVE HEALING LLC
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1518600345
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRINITY ALTERNATIVE HEALING LLC
Provider Business Mailing Address
First Line : 8414 FARM RD STE 180
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-8007
Country : US
Telephone Number : 702-861-6822
Fax Number :
Provider Business Practice Location Address
First Line : 8414 FARM RD STE 180
Second Line :
City : LAS VEGAS
State : NV
Zip : 89131-8007
Country : US
Telephone Number : 702-861-6822
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TIFFANY CORNELIS
Credential :
Telephone Number : 702-861-6822
Provider Enumeration Date : 04/19/2022
Last Update Date : 10/31/2022

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Directions to “TRINITY ALTERNATIVE HEALING LLC ” Practice Location

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