MEDICARE: TRIANGLE COMPREHENSIVE HEALTH SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003975277
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIANGLE COMPREHENSIVE HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	206-A MALLOY STREET
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27534-4477
Country	:	US
Telephone Number	:	919-705-1020
Fax Number	:	919-705-0480

Provider Business Practice Location Address
First Line	:	206-A MALLOY STREET
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27534-4477
Country	:	US
Telephone Number	:	919-705-1020
Fax Number	:	919-705-0480

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR/LCMHC
Name	:	DEBRA HOOKER BARFIELD
Credential	:	LCMHC
Telephone Number	:	919-705-1020

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	06/14/2021

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