Healthcare Provider Details

I. General information

NPI: 1245169325
Provider Name (Legal Business Name): TRIANGLELCSW, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 RALEIGH RD STE 202
CHAPEL HILL NC
27517-4047
US

IV. Provider business mailing address

1201 RALEIGH RD STE 202
CHAPEL HILL NC
27517-4047
US

V. Phone/Fax

Practice location:
  • Phone: 919-410-7189
  • Fax:
Mailing address:
  • Phone: 919-410-7189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH HAYDEN
Title or Position: OWNER
Credential: LCSW
Phone: 919-410-7189