Provider Demographics
NPI:1992869267
Name:TRIANGLE FAMILY THERAPY
Entity type:Organization
Organization Name:TRIANGLE FAMILY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:HOPE
Authorized Official - Last Name:DNISTRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:919-789-4673
Mailing Address - Street 1:5500 MCNEELY DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-7623
Mailing Address - Country:US
Mailing Address - Phone:919-789-4673
Mailing Address - Fax:919-789-8207
Practice Address - Street 1:5500 MCNEELY DR
Practice Address - Street 2:SUITE 101
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-7623
Practice Address - Country:US
Practice Address - Phone:919-789-4673
Practice Address - Fax:919-789-8207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC695106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty