Provider Demographics
NPI:1336654094
Name:TRIANGLE PSYCHOTHERAPIES & CONSULTATION LLC
Entity Type:Organization
Organization Name:TRIANGLE PSYCHOTHERAPIES & CONSULTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JERALD
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:FLOERSCH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:216-346-3469
Mailing Address - Street 1:1164 RARITAN AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-3653
Mailing Address - Country:US
Mailing Address - Phone:216-346-3469
Mailing Address - Fax:
Practice Address - Street 1:1164 RARITAN AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-3653
Practice Address - Country:US
Practice Address - Phone:216-346-3469
Practice Address - Fax:216-346-3469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-04
Last Update Date:2017-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054551001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty