Provider Demographics
NPI:1154916310
Name:MORIN, TRINIDAD (LCPC)
Entity type:Individual
Prefix:
First Name:TRINIDAD
Middle Name:
Last Name:MORIN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:TRINIDAD
Other - Middle Name:
Other - Last Name:MORIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCPC
Mailing Address - Street 1:4071 N BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-2117
Mailing Address - Country:US
Mailing Address - Phone:773-217-8571
Mailing Address - Fax:
Practice Address - Street 1:4071 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-2117
Practice Address - Country:US
Practice Address - Phone:773-217-8571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178011905101YP2500X
IL180.016977101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional