Provider Demographics
NPI:1780121632
Name:SIX DIMENSIONS
Entity type:Organization
Organization Name:SIX DIMENSIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-400-7432
Mailing Address - Street 1:213 GOLF CART DR
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42066-1209
Mailing Address - Country:US
Mailing Address - Phone:561-400-7432
Mailing Address - Fax:
Practice Address - Street 1:213 GOLF CART DR
Practice Address - Street 2:
Practice Address - City:MAYFIELD
Practice Address - State:KY
Practice Address - Zip Code:42066-1209
Practice Address - Country:US
Practice Address - Phone:561-400-7432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-30
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty