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CONNECTING COMMUNITIES AND COUNSELING AGENCY NPI 1740932946


NPI Information

NPI: 1740932946
Provider Name: CONNECTING COMMUNITIES AND COUNSELING AGENCY
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
461 FALKNER QUARTER RD
WARRENTON, NC
ZIP 27589
Phone: (919) 514-9640
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CONNECTING COMMUNITIES AND COUNSELING AGENCY is a mental health (including community mental health center) clinic center in Warrenton, NC. CONNECTING COMMUNITIES AND COUNSELING AGENCY NPI is 1740932946. The provider is registered as an organization entity type.

The provider's business location address is:

461 FALKNER QUARTER RD
WARRENTON, NC
ZIP 27589-670
Phone: (919) 514-9640

The provider's authorized official is Aimee A Cooper .
The authorized official title is Mental Health Counselor and has the following contact phone number (919) 514-9640.

The enumeration date for this NPI number is 1/19/2022 and was last updated on 1/19/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11225547847MEDICAIDNORTH CAROLINA

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: 5/5/2024

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