Organization · Type 2 NPI
Trinity Innovative Support
Mental Health Counselor · Loganville, GA
NPI number
1003775990
Active
Practice location
605 Athens Hwy Unit 5-201
Loganville, GA 30052-4767
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1003775990
Trinity Innovative Support's National Provider Identifier is 1003775990, issued on Jan 17, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Loganville, GA. The record was last updated on Mar 20, 2026.