| Triangle Center For Emotional Wellness,pllc | |
|
5011 Southpark Dr Su. 130 Durham NC 27713-7738 | |
| (919) 408-7839 | |
| (919) 361-1900 |
| Full Name | Triangle Center For Emotional Wellness,pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5011 Southpark Dr, Durham, North Carolina |
| Authorized Official Name and Position | Shelda Abdur-razzaq (PRINCIPLE) |
| Authorized Official Contact | 9194087839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Triangle Center For Emotional Wellness,pllc 5011 Southpark Dr Su. 130 Durham NC 27713-7738 Ph: (919) 408-7839 | Triangle Center For Emotional Wellness,pllc 5011 Southpark Dr Su. 130 Durham NC 27713-7738 Ph: (919) 408-7839 |
| NPI Number | 1851689400 |
|---|---|
| Provider Enumeration Date | 07/18/2011 |
| Last Update Date | 07/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851689400 | NPI | - | NPPES |
| 6102831 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2126 (North Carolina) | Primary |
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