| Trinity Counseling Center | |
|
13847 E 14th St Ste 215 San Leandro CA 94578-2626 | |
| (510) 430-1115 | |
| (510) 430-1116 |
| Full Name | Trinity Counseling Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 13847 E 14th St Ste 215, San Leandro, California |
| Authorized Official Name and Position | Lindsay S Malcolm (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5104301115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Counseling Center 13847 E 14th St Ste 215 San Leandro CA 94578-2626 Ph: (510) 430-1115 | Trinity Counseling Center 13847 E 14th St Ste 215 San Leandro CA 94578-2626 Ph: (510) 430-1115 |
| NPI Number | 1255460648 |
|---|---|
| Provider Enumeration Date | 03/03/2007 |
| Last Update Date | 09/23/2022 |
| Certification Date | 09/23/2022 |
| Medicare PECOS PAC ID | 8325227291 |
|---|---|
| Medicare Enrollment ID | O20110124001240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255460648 | NPI | - | NPPES |
| Provider Name | Lindsay S Malcolm |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902091127 PECOS PAC ID: 5092994988 Enrollment ID: I20110202000519 |
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