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Contact Information

TRIVA W SANDERS, CRC, CCSCC
718 BOWMAR AVE
VICKSBURG, MS39180-4603
 Phone: 850-363-0012
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Massage Therapist

225700000X
 

Nurse's Aide

376K00000X
 

Nursing Care

251J00000X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Pastoral

101YP1600X
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Rehabilitation Counselor

225C00000X
Indicates primary specialty

NPI Profile & details for TRIVA W SANDERS · (Female)

NPI Number 1457202210
Status Active
Credentials CRC, CCSCC
Entity Individual
Enumeration date 02/06/2026
Last updated 02/06/2026 - About 4 months ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
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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