TRINITY WELLNESS, LLC (NPI# 1700446283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700446283 |
| Entity Type | Organization |
| Organization Name | TRINITY WELLNESS, LLC |
| Practice Address |
6365 Clayton Rd Fl 2 Clayton MO 63117-1808 |
| Practice Telephone | 3144008211 |
| Mailing Telephone | 3144008211 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Authorized Official Name | MS. KAREN D BANKS (OWNER) |
| Authorized Official Telephone | 3146051317 |
| Authorized Official Credential | M.ED., LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | NPI | 1598182040 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | TRINITY WELLNESS, LLC | 29 Water Street, Newburyport, MA 01950 |
| Washington State Corporations | TRINITY WELLNESS, LLC | 24221 14th Ave S, Des Moines, WA 98198-7812 |
| Street Address |
6365 CLAYTON RD FL 2 |
| City | CLAYTON |
| State | MO |
| Zip Code | 63117-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058711 | David Oliver | Counselor | 8000 Bonhomme Ave Ste 201d, Clayton, MO 63105-3515 | 2020-09-21 |
| 1306459060 | Misha Benavides Pelligreen | Counselor | 7556 Wydown Blvd Apt 2e, Clayton, MO 63105-2752 | 2020-08-24 |
| 1437781978 | Leigh H Gerard | Counselor | 225 S Meramec Ave # 721t, Clayton, MO 63105-3669 | 2020-02-12 |
| 1518516053 | Elise Marie Ringenberg | Counselor | 8000 Bonhomme Ave Ste 406, Clayton, MO 63105-3515 | 2019-09-07 |
| 1225527930 | Jason Duchinsky | Counselor | 141 N Meramec Ave Ste 10b, Clayton, MO 63105-3393 | 2018-05-08 |
| 1114436268 | Janice Rando | Counselor | 200 E Main St Ste 201, Clayton, NC 27520-2487 | 2017-09-20 |
| 1205356961 | Mckenzie Bossert | Counselor | 510 W Main St Ste 100, Clayton, NC 27520-1650 | 2017-06-23 |
| 1225572282 | Camille E. Neal | Counselor | 232 River Hills Dr, Clayton, NC 27527-5805 | 2016-12-10 |
| 1518416015 | Glenn Moore | Counselor | 9 Kindle Ct, Clayton, NJ 08312-2158 | 2016-09-25 |
| 1083001341 | Dawn Harvel | Counselor | 11448 Us Hwy 70 W, Clayton, NC 27520 | 2015-04-23 |
| Find all providers in CLAYTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.