National Provider Identifier Database

TRIVA W SANDERS, CRC, CCSCC – NPI #1457202210
Counselor

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.


Contact Information

TRIVA W SANDERS, CRC, CCSCC
718 BOWMAR AVE
VICKSBURG, MS39180-4603
Phone: 850-363-0012
Fax:
Website:
Specialty Taxonomy Code
* Counselor 101Y00000X
Clinical 1041C0700X
Massage Therapist 225700000X
Nurse's Aide 376K00000X
Nursing Care 251J00000X
Occupational Therapist 225X00000X
Pastoral 101YP1600X
Physical Therapist 225100000X
Rehabilitation Counselor 225C00000X

* Indicates primary specialty

NPI Profile & details for TRIVA W SANDERS

NPI Number 1457202210
Credentials CRC, CCSCC
Entity Individual
Enumeration date 02/06/2026
Last updated 02/06/2026 - About 4 months ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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