Active NPI
Triangle Center for Emotional Wellness,PLLC
- Professional Counselor
- Durham, NC
National Provider Identifier
1851689400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2126
- Legal business name
- TRIANGLE CENTER FOR EMOTIONAL WELLNESS,PLLC
- Practice address
- 5011 Southpark Dr
Su. 130
Durham, NC 27713-7738 - Phone
- (919) 408-7839
- Fax
- (919) 361-1900
- NPI assigned
- Jul 18, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Shelda Abdur-Razzaq, LPC
- Title
- Principle
- Phone
- (919) 408-7839
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2126 | NC | Primary |
Addresses
Primary practice location
5011 Southpark Dr
Su. 130
Durham, NC 27713-7738
Mailing address
5011 Southpark Dr
Su. 130
Durham, NC 27713-7738
Phone (919) 408-7839
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102831 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
5011 Southpark Dr
Ste 130
Durham, NC 27713
Phone (919) 405-2800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310947200000",
"number": "1851689400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5011 SOUTHPARK DR",
"address_2": "SU. 130",
"city": "DURHAM",
"state": "NC",
"postal_code": "277137738",
"telephone_number": "919-408-7839",
"fax_number": "919-361-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5011 SOUTHPARK DR",
"address_2": "SU. 130",
"city": "DURHAM",
"state": "NC",
"postal_code": "277137738",
"telephone_number": "919-408-7839",
"fax_number": "919-361-1900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIANGLE CENTER FOR EMOTIONAL WELLNESS,PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-18",
"last_updated": "2011-07-18",
"status": "A",
"authorized_official_last_name": "ABDUR-RAZZAQ",
"authorized_official_first_name": "SHELDA",
"authorized_official_title_or_position": "PRINCIPLE",
"authorized_official_telephone_number": "919-408-7839",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "NC",
"license": "2126",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102831",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.