Provider Demographics
NPI:1114509114
Name:CONNECTIONS IN COUNSELING, INC
Entity Type:Organization
Organization Name:CONNECTIONS IN COUNSELING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUCITA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLONDAS
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:774-855-6974
Mailing Address - Street 1:86 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:ASSONET
Mailing Address - State:MA
Mailing Address - Zip Code:02702-1707
Mailing Address - Country:US
Mailing Address - Phone:508-801-7959
Mailing Address - Fax:
Practice Address - Street 1:12 HARDING ST STE 206
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MA
Practice Address - Zip Code:02347-1232
Practice Address - Country:US
Practice Address - Phone:774-855-6974
Practice Address - Fax:774-855-9994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-28
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty