Provider Demographics
NPI:1275264616
Name:COUNSELING CONNECTIONS, LLC
Entity Type:Organization
Organization Name:COUNSELING CONNECTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:J
Authorized Official - Last Name:KNEELAND
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:978-558-0220
Mailing Address - Street 1:#1022 - 436 SOUTHBRIDGE STREET
Mailing Address - Street 2:SUITE 2
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501
Mailing Address - Country:US
Mailing Address - Phone:978-558-0220
Mailing Address - Fax:
Practice Address - Street 1:#1022 - 436 SOUTHBRIDGE STREET
Practice Address - Street 2:SUITE 2
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-0401
Practice Address - Country:US
Practice Address - Phone:978-558-0220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-17
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty