Provider Demographics
NPI:1477159010
Name:CONNECTED CONVERSATIONS, LLC
Entity Type:Organization
Organization Name:CONNECTED CONVERSATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANASTASIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RHODES-PEYTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:601-455-3142
Mailing Address - Street 1:6941 HIGHWAY 42
Mailing Address - Street 2:
Mailing Address - City:PRENTISS
Mailing Address - State:MS
Mailing Address - Zip Code:39474-4123
Mailing Address - Country:US
Mailing Address - Phone:601-455-3142
Mailing Address - Fax:
Practice Address - Street 1:5266 OLD HIGHWAY 11 STE 50-1061
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-7817
Practice Address - Country:US
Practice Address - Phone:601-455-3142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty