Provider Demographics
NPI:1447646500
Name:TRIANGLE COGNITIVE BEHAVIORAL SOLUTIONS, PLLC
Entity type:Organization
Organization Name:TRIANGLE COGNITIVE BEHAVIORAL SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:N
Authorized Official - Last Name:DOULEH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:919-999-7385
Mailing Address - Street 1:174 MINE LAKE CT
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6417
Mailing Address - Country:US
Mailing Address - Phone:919-999-7385
Mailing Address - Fax:919-930-8588
Practice Address - Street 1:174 MINE LAKE CT
Practice Address - Street 2:SUITE 100
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6417
Practice Address - Country:US
Practice Address - Phone:919-999-7385
Practice Address - Fax:919-930-8588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-15
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4660251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health