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Organization
COMMUNITY CONNECTIONS HEALTHCARE SERVICES, LLC
Active
Organization
COMMUNITY CONNECTIONS HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALLESHA MCKOY (EXECUTIVE DIRECTOR)
(910) 879-6102
Entity
Organization
Contact information
Practice address
690 N REILLY RD, FAYETTEVILLE, NC 28303-5724
(910) 879-6102
(919) 544-1661
Mailing address
282 W MILLBROOK RD, SUITE 100, RALEIGH, NC 27609-4676
(919) 665-4673
(919) 544-1661
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
2084P0802X
Addiction Psychiatry Physician
Primary
127550
NC
Other
Enumeration date
05/12/2010
Last updated
04/30/2013
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