TRAILMARKER CLINICAL GROUP LLC NPI 1962379917

NPI Information

  • NPI: 1962379917
  • Provider Name: TRAILMARKER CLINICAL GROUP LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 11709 RUTGERS DR
    HENRICO, VA
    ZIP 23233
  • Phone: (540) 840-5346

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NPI Details

TRAILMARKER CLINICAL GROUP LLC is a mental health counselor in Henrico, VA. TRAILMARKER CLINICAL GROUP LLC NPI is 1962379917. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11709 RUTGERS DR
HENRICO, VA
ZIP 23233-697
Phone: (540) 840-5346

The provider's authorized official is Eric Lavalle .
The authorized official title is Clinical Director and has the following contact phone number (540) 300-5954.

The enumeration date for this NPI number is 10/22/2025 and was last updated on 10/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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