Provider Demographics
NPI:1083150353
Name:CONNECTING THE DOTS TREATMENT SERVICES AND CONSULTATION LLC
Entity Type:Organization
Organization Name:CONNECTING THE DOTS TREATMENT SERVICES AND CONSULTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:LCAS
Authorized Official - Phone:704-806-6729
Mailing Address - Street 1:12430 DOWNY BIRCH RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28227-3675
Mailing Address - Country:US
Mailing Address - Phone:704-806-6729
Mailing Address - Fax:
Practice Address - Street 1:115 UNIONVILLE INDIAN TRAIL RD W STE A-7
Practice Address - Street 2:
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-5583
Practice Address - Country:US
Practice Address - Phone:704-665-5583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-11
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS20180101YA0400X
NC10313101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty