Healthcare Provider Details

I. General information

NPI: 1366569683
Provider Name (Legal Business Name): TRIANGLE ASSOCIATES FOR WELL BEING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6208 FAYETTEVILLE RD SUITE 106
DURHAM NC
27713-6286
US

IV. Provider business mailing address

6208 FAYETTEVILLE RD SUITE 106
DURHAM NC
27713-6286
US

V. Phone/Fax

Practice location:
  • Phone: 919-317-1449
  • Fax:
Mailing address:
  • Phone: 919-317-1449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberNC2115
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2126
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCOO1202
License Number StateNC

VIII. Authorized Official

Name: MARILYN MCNAMARA
Title or Position: OWNER
Credential: LCSW
Phone: 919-317-1449