Provider Demographics
NPI:1518768910
Name:TRAUMA MATTERS, LLC
Entity type:Organization
Organization Name:TRAUMA MATTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:CONDOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-202-7073
Mailing Address - Street 1:8041 WHITE OAK LOOP
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-9330
Mailing Address - Country:US
Mailing Address - Phone:701-202-7073
Mailing Address - Fax:
Practice Address - Street 1:8041 WHITE OAK LOOP
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-9330
Practice Address - Country:US
Practice Address - Phone:701-202-7073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health