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CONNECTIVITY COUNSELING CENTER PLLC NPI 1952606550


NPI Information

NPI: 1952606550
Provider Name: CONNECTIVITY COUNSELING CENTER PLLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
1608 RAMSEY ST
FAYETTEVILLE, NC
ZIP 28301
Phone: (910) 829-6157
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CONNECTIVITY COUNSELING CENTER PLLC is a professional counselor in Fayetteville, NC. CONNECTIVITY COUNSELING CENTER PLLC NPI is 1952606550. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1608 RAMSEY ST
FAYETTEVILLE, NC
ZIP 28301-410
Phone: (910) 829-6157
Fax: (910) 829-6158

The provider's authorized official is Dorothy Ann Ray .
The authorized official title is Owner/president and has the following contact phone number (910) 829-6157.

The enumeration date for this NPI number is 1/13/2011 and was last updated on 1/13/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessional4606NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11679803449MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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