Provider Demographics
NPI:1003975277
Name:TRIANGLE COMPREHENSIVE HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:TRIANGLE COMPREHENSIVE HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/LCMHC
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:HOOKER
Authorized Official - Last Name:BARFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:919-705-1020
Mailing Address - Street 1:206-A MALLOY STREET
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-4477
Mailing Address - Country:US
Mailing Address - Phone:919-705-1020
Mailing Address - Fax:919-705-0480
Practice Address - Street 1:206-A MALLOY STREET
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-4477
Practice Address - Country:US
Practice Address - Phone:919-705-1020
Practice Address - Fax:919-705-0480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6106965Medicaid
NC6006434Medicaid