Church, Trisha
Church, Trisha is an individual health care provider with primary practice located at 21632 Wesley Dr , Laguna Beach CA 92651-8167. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Church, Trisha can be contacted via phone (949) 499-5346.Contact Information
Primary practice address
21632 Wesley Dr
Laguna Beach CA 92651-8167
Phone: (949) 499-5346
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1396220265 |
|---|---|
| LBN Legal business name | Church, Trisha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2018 |
| Last updated | Sep 26th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396220265 | NPPES |
| California | MEDICAID | 05 |
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