Provider Demographics
NPI:1215594080
Name:TRIANGLE COGNITIVE BEHAVIORAL THERAPY SERVICES
Entity Type:Organization
Organization Name:TRIANGLE COGNITIVE BEHAVIORAL THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPCS PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:HAROL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-454-8743
Mailing Address - Street 1:145 SILVER BLUFF ST
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-9392
Mailing Address - Country:US
Mailing Address - Phone:919-454-8743
Mailing Address - Fax:
Practice Address - Street 1:201 HOLLY SPRINGS RD
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-9023
Practice Address - Country:US
Practice Address - Phone:919-454-8743
Practice Address - Fax:910-782-1135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-28
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)