Provider Demographics
NPI:1144104001
Name:TRIINTY PSYCHIATRY AND MENTAL WELLNESS, LLC
Entity type:Organization
Organization Name:TRIINTY PSYCHIATRY AND MENTAL WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLINEAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-335-9334
Mailing Address - Street 1:3662 CEDARCREST RD STE 120
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-8935
Mailing Address - Country:US
Mailing Address - Phone:770-335-9334
Mailing Address - Fax:
Practice Address - Street 1:3662 CEDARCREST RD STE 120
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-8935
Practice Address - Country:US
Practice Address - Phone:770-335-9334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health