| Trinity Behavioral Healthcare Pc | |
|
2716 Troxler Rd Suite A Burlington NC 27215-9187 | |
| (336) 570-0104 | |
| Not Available |
| Full Name | Trinity Behavioral Healthcare Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2716 Troxler Rd, Burlington, North Carolina |
| Authorized Official Name and Position | Shamsher Ahluwalia (PRESIDENT) |
| Authorized Official Contact | 3369081044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Behavioral Healthcare Pc 2716 Troxler Rd Suite A Burlington NC 27215-9187 Ph: (336) 570-0104 | Trinity Behavioral Healthcare Pc 2716 Troxler Rd Suite A Burlington NC 27215-9187 Ph: (336) 570-0104 |
| NPI Number | 1649676230 |
|---|---|
| Provider Enumeration Date | 11/10/2014 |
| Last Update Date | 11/14/2014 |
| Medicare PECOS PAC ID | 1557688835 |
|---|---|
| Medicare Enrollment ID | O20150325001761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649676230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Mohammad D Lateef |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962445668 PECOS PAC ID: 2264324383 Enrollment ID: I20040325000611 |
| Provider Name | Donna F Odem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205850054 PECOS PAC ID: 3072612092 Enrollment ID: I20070615000332 |
| Provider Name | Shamsher Ahluwalia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497943286 PECOS PAC ID: 9537217385 Enrollment ID: I20090914000424 |
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