Provider Demographics
NPI:1114676376
Name:EMOTIONAL CONNECT LLC
Entity Type:Organization
Organization Name:EMOTIONAL CONNECT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AWILDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BROCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-622-9797
Mailing Address - Street 1:17 CALLE 2 STE 520
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968-1750
Mailing Address - Country:US
Mailing Address - Phone:787-622-9797
Mailing Address - Fax:787-622-9888
Practice Address - Street 1:17 CALLE 2 STE 520
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-1750
Practice Address - Country:US
Practice Address - Phone:787-622-9797
Practice Address - Fax:787-622-9888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty