Provider Demographics
NPI:1174318422
Name:JONES, TRINITY STAR
Entity type:Individual
Prefix:
First Name:TRINITY
Middle Name:STAR
Last Name:JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7365 SPOLETO LOOP
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-6488
Mailing Address - Country:US
Mailing Address - Phone:678-733-5195
Mailing Address - Fax:678-733-5195
Practice Address - Street 1:7365 SPOLETO LOOP
Practice Address - Street 2:
Practice Address - City:FAIRBURN
Practice Address - State:GA
Practice Address - Zip Code:30213-6488
Practice Address - Country:US
Practice Address - Phone:678-733-5195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician