1083737126 NPI number — MRS. CAROL J TRAHMS L.C.S.W., M.F.T.

Table of content: MRS. CAROL J TRAHMS L.C.S.W., M.F.T. (NPI 1083737126)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083737126 NPI number — MRS. CAROL J TRAHMS L.C.S.W., M.F.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TRAHMS
Provider First Name:
CAROL
Provider Middle Name:
J
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
L.C.S.W., M.F.T.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083737126
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1416 TENNESSEE STREET, SUITE 3A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VALLEJO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94590
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
707-644-0088
Provider Business Mailing Address Fax Number:
707-647-1305

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1416 TENNESSEE ST STE 3A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VALLEJO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94590-4647
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
707-644-0088
Provider Business Practice Location Address Fax Number:
707-647-1305
Provider Enumeration Date:
04/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  8510 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 106H00000X , with the licence number: 3695 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com