Organization
COMMUNITY CONNECTIONS HEALTHCARE SERVICES, LLC
Active
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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