Provider Demographics
NPI:1679953418
Name:TRIAD FAMILY AND CHILDRENS SERVICES LLC
Entity type:Organization
Organization Name:TRIAD FAMILY AND CHILDRENS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:BRINKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-986-9787
Mailing Address - Street 1:5709 W FRIENDLY AVE STE A
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-4112
Mailing Address - Country:US
Mailing Address - Phone:336-986-9787
Mailing Address - Fax:336-232-1516
Practice Address - Street 1:5709 W FRIENDLY AVE STE A
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-4112
Practice Address - Country:US
Practice Address - Phone:336-986-9787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-07
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health