Provider Demographics
NPI:1114187424
Name:THERAPEUTIC CONNECTIONS INC
Entity Type:Organization
Organization Name:THERAPEUTIC CONNECTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALLESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-783-8080
Mailing Address - Street 1:343 E SIX FORKS RD
Mailing Address - Street 2:SUITE 330
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7800
Mailing Address - Country:US
Mailing Address - Phone:919-783-8080
Mailing Address - Fax:919-783-8040
Practice Address - Street 1:343 E SIX FORKS RD
Practice Address - Street 2:SUITE 330
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7800
Practice Address - Country:US
Practice Address - Phone:919-783-8080
Practice Address - Fax:919-783-8040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6005665Medicaid
NC8300196Medicaid