Provider Demographics
NPI:1003286634
Name:CONNECTING THE PIECES LLC
Entity Type:Organization
Organization Name:CONNECTING THE PIECES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAWNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, BCBA
Authorized Official - Phone:405-824-3408
Mailing Address - Street 1:1209 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-5846
Mailing Address - Country:US
Mailing Address - Phone:405-564-3408
Mailing Address - Fax:
Practice Address - Street 1:1209 S MAIN ST
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-5846
Practice Address - Country:US
Practice Address - Phone:405-564-3408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-24
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health