Organization · NPI-2

Dr Tripp And Associates -Texascor

Clinic/Center, Mental Health (Including Community Mental Health Center) · Port Saint Lucie, FL

NPI number1275403784
StatusActive
Last updated in NPPESNov 10, 2025

Details

NPI
1275403784
Entity type
Organization (NPI-2)
Legal business name
Dr Tripp And Associates -Texascor
Organization subpart
No
Enumeration date
Nov 10, 2025
Certification date
Oct 24, 2025
Last updated
Nov 10, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

5590 Nw Pine Trail Circle
Port Saint Lucie, FL 34983

Phone 772-494-7770 · Fax 772-258-4480

Mailing address

5473 Blair Rd Ste 100
Dallas, TX 75231-4227

Phone 772-494-7770 · Fax 772-258-4480

Authorized official

Shardae C Tripp
Ceo
7724947770

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