Provider Demographics
NPI:1154156396
Name:COX, TRINITY MARIE (LMSW)
Entity type:Individual
Prefix:
First Name:TRINITY
Middle Name:MARIE
Last Name:COX
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4728 CHICAGO ST APT 16
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68132-3032
Mailing Address - Country:US
Mailing Address - Phone:402-802-3345
Mailing Address - Fax:
Practice Address - Street 1:427 E KANESVILLE BLVD STE 201
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-9079
Practice Address - Country:US
Practice Address - Phone:712-256-9660
Practice Address - Fax:712-256-9661
Is Sole Proprietor?:No
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA126609101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health