| Triangle Wellness & Recovery Pllc | |
|
1000 Darrington Dr Ste 204 Cary NC 27513-8134 | |
| (919) 388-5621 | |
| Not Available |
| Full Name | Triangle Wellness & Recovery Pllc |
|---|---|
| Speciality | Preventive Medicine |
| Location | 1000 Darrington Dr Ste 204, Cary, North Carolina |
| Authorized Official Name and Position | Sara Koenig (CEO & MEDICAL DIRECTOR) |
| Authorized Official Contact | 5053775406 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Triangle Wellness & Recovery Pllc 1000 Darrington Dr Ste 204 Cary NC 27513-8134 Ph: (919) 338-5621 | Triangle Wellness & Recovery Pllc 1000 Darrington Dr Ste 204 Cary NC 27513-8134 Ph: (919) 388-5621 |
| NPI Number | 1003375346 |
|---|---|
| Provider Enumeration Date | 03/17/2019 |
| Last Update Date | 07/09/2019 |
| Medicare PECOS PAC ID | 8527496009 |
|---|---|
| Medicare Enrollment ID | O20200316001768 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003375346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 2083A0300X | Preventive Medicine - Addiction Medicine | (* (Not Available)) | Primary |
| Provider Name | Sara Koenig |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1720253339 PECOS PAC ID: 2769513027 Enrollment ID: I20100630000373 |
| Provider Name | Lydia Zimmer Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255750626 PECOS PAC ID: 2769723378 Enrollment ID: I20190409001269 |
| Provider Name | Heather B Ingram |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720650765 PECOS PAC ID: 2567904212 Enrollment ID: I20240610001003 |
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