Provider Demographics
NPI:1043786262
Name:TRIANGLE WELLNESS COUNSELING PLLC
Entity Type:Organization
Organization Name:TRIANGLE WELLNESS COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:CLEMENS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:919-945-9313
Mailing Address - Street 1:106 OLD LARKSPUR WAY
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-3413
Mailing Address - Country:US
Mailing Address - Phone:919-945-9313
Mailing Address - Fax:
Practice Address - Street 1:104 JONES FERRY RD STE F
Practice Address - Street 2:
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-2036
Practice Address - Country:US
Practice Address - Phone:919-945-9313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-15
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health