Provider Demographics
NPI:1194469577
Name:CONNECTING THE PIECES, LLC
Entity Type:Organization
Organization Name:CONNECTING THE PIECES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MYRNEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GEGU
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:860-595-2816
Mailing Address - Street 1:2402 N MACARTHUR BLVD APT 1308
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-5471
Mailing Address - Country:US
Mailing Address - Phone:860-967-1126
Mailing Address - Fax:
Practice Address - Street 1:955 W JOHN CARPENTER FWY STE 100
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-2502
Practice Address - Country:US
Practice Address - Phone:860-595-2816
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-22
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty