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THERAPEUTIC COMMUNITY CONNECTIONS PLLC NPI 1801115563


NPI Information

NPI: 1801115563
Provider Name: THERAPEUTIC COMMUNITY CONNECTIONS, PLLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
4804 STOWE DERBY DR
CHARLOTTE, NC
ZIP 28278
Phone: (704) 999-7588
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THERAPEUTIC COMMUNITY CONNECTIONS, PLLC is a community behavioral health in Charlotte, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. THERAPEUTIC COMMUNITY CONNECTIONS, PLLC NPI is 1801115563. The provider is registered as an organization entity type.

The provider's business location address is:

4804 STOWE DERBY DR
CHARLOTTE, NC
ZIP 28278-342
Phone: (704) 999-7588

The provider's authorized official is Nina Michele Gonzalez .
The authorized official title is Executive Director and has the following contact phone number (704) 999-7588.

The enumeration date for this NPI number is 5/20/2010 and was last updated on 5/20/2010.


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
1251S00000XCommunity/Behavioral Health4997NORTH CAROLINAYes

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: 11/14/2023

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