# COMMUNITY CONNECTIONS HEALTHCARE SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902124191
- **Authorized official:** MS. ALLESHA MCKOY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (910) 879-6102

## Contact information

- **Practice address:** 690 N REILLY RD, FAYETTEVILLE, NC 28303-5724
- **Practice address phone:** (910) 879-6102
- **Practice address fax:** (919) 544-1661
- **Mailing address:** 282 W MILLBROOK RD, SUITE 100, RALEIGH, NC 27609-4676
- **Mailing address phone:** (919) 665-4673
- **Mailing address fax:** (919) 544-1661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | 127550 | NC | Yes |

## Other

- **Enumeration date:** 05/12/2010
- **Last updated:** 04/30/2013