Provider Demographics
NPI:1144501313
Name:TRINITY SUPPORT SERVICES
Entity type:Organization
Organization Name:TRINITY SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:YOPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-352-8816
Mailing Address - Street 1:601 STARLING AVE
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-4221
Mailing Address - Country:US
Mailing Address - Phone:276-632-0589
Mailing Address - Fax:276-632-0590
Practice Address - Street 1:601 STARLING AVE
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-4221
Practice Address - Country:US
Practice Address - Phone:276-632-0589
Practice Address - Fax:276-632-0590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-01
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1753-03-001251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health