| Triangle Family Services, Inc. | |
|
3937 Western Blvd Raleigh NC 27606-1936 | |
| (919) 821-0790 | |
| (919) 861-8961 |
| Full Name | Triangle Family Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3937 Western Blvd, Raleigh, North Carolina |
| Authorized Official Name and Position | Alice Lutz (CEO) |
| Authorized Official Contact | 9198210790 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Triangle Family Services, Inc. 3937 Western Blvd Raleigh NC 27606-1936 Ph: (919) 821-0790 | Triangle Family Services, Inc. 3937 Western Blvd Raleigh NC 27606-1936 Ph: (919) 821-0790 |
| NPI Number | 1578604450 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 04/04/2013 |
| Medicare PECOS PAC ID | 8022912773 |
|---|---|
| Medicare Enrollment ID | O20031125000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578604450 | NPI | - | NPPES |
| 01449 | Other | NC | BCBS ID |
| 6005391 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Renee D Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134206584 PECOS PAC ID: 9234030818 Enrollment ID: I20040116000343 |
| Provider Name | Marjorie Lynn Carlstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013959162 PECOS PAC ID: 5294704722 Enrollment ID: I20040930000647 |
| Provider Name | Alison Katherine Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801902697 PECOS PAC ID: 7113029323 Enrollment ID: I20070219000423 |
| Provider Name | Abby Rae Carlquist |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962834168 PECOS PAC ID: 4880986520 Enrollment ID: I20160715001988 |
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