Organization
COMMUNITY CONNECTIONS HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLESHA ELLIOTT MCKOY (EXECUTIVE DIRECTOR)
(919) 665-4673
Entity
Organization
Contact information
Practice address
5816 CREEDMOOR RD STE 104, RALEIGH, NC 27612-2310
(919) 665-4673
(919) 882-8348
Mailing address
5816 CREEDMOOR RD STE 104, RALEIGH, NC 27612-2310
(919) 665-4673
(919) 882-8348
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006833
—
NC
05
—
6008124
—
NC
Enumeration date
05/21/2009
Last updated
06/07/2021
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