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Contact Information

TRIDENT COUNSELING CONSULTING & WELLNESS LLC
112 W BROADWAY ST ST A
BOLIVAR, MO61653
 Phone: 417-631-3246
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for TRIDENT COUNSELING CONSULTING & WELLNESS LLC

NPI Number 1245050186
LBN Legal business name TRIDENT COUNSELING CONSULTING & WELLNESS LLC
Authorized official MELISSA DAVIS - (OWNER/PROVIDER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/15/2024
Last updated 10/15/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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