Provider Demographics
NPI:1871149799
Name:KIMBERLEE A. TRINKOFSKY, LMHC, PA
Entity type:Organization
Organization Name:KIMBERLEE A. TRINKOFSKY, LMHC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLEE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:TRINKOFSKY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC,CAP
Authorized Official - Phone:954-295-4720
Mailing Address - Street 1:10939 LA SALINAS CIR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-1238
Mailing Address - Country:US
Mailing Address - Phone:954-295-4720
Mailing Address - Fax:
Practice Address - Street 1:7100 CAMINO REAL STE 404
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-5510
Practice Address - Country:US
Practice Address - Phone:954-295-4720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty