Provider Demographics
NPI:1467187161
Name:ESSENTIAL CONNECTIONS WELLNESS SERVICES, PLLC
Entity Type:Organization
Organization Name:ESSENTIAL CONNECTIONS WELLNESS SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:NIESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:980-330-7110
Mailing Address - Street 1:118 S MAIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-4952
Mailing Address - Country:US
Mailing Address - Phone:980-330-7110
Mailing Address - Fax:910-338-5637
Practice Address - Street 1:118 S MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-4952
Practice Address - Country:US
Practice Address - Phone:980-330-7110
Practice Address - Fax:910-338-5637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty