Provider Demographics
NPI:1982575411
Name:TRUSTED ANGELS COMMUNITY SUPPORT SERVICES LLC
Entity type:Organization
Organization Name:TRUSTED ANGELS COMMUNITY SUPPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:HOLLAND
Authorized Official - Last Name:INGRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-534-3500
Mailing Address - Street 1:154 HUFFMAN MILL RD STE 203
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-5113
Mailing Address - Country:US
Mailing Address - Phone:336-534-3500
Mailing Address - Fax:336-754-0108
Practice Address - Street 1:154 HUFFMAN MILL RD STE 203
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5113
Practice Address - Country:US
Practice Address - Phone:336-534-3500
Practice Address - Fax:336-754-0108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-17
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health