Provider Demographics
NPI:1497527808
Name:CONNECTED COUNSELING AND WELLNESS LLC
Entity Type:Organization
Organization Name:CONNECTED COUNSELING AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADULT THERAPY DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATALIA
Authorized Official - Middle Name:I
Authorized Official - Last Name:BARRERO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:404-431-6225
Mailing Address - Street 1:1610 QUEENSLAND CT
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-6970
Mailing Address - Country:US
Mailing Address - Phone:140-443-1622
Mailing Address - Fax:
Practice Address - Street 1:327 DAHLONEGA ST STE 902
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-2480
Practice Address - Country:US
Practice Address - Phone:470-206-8250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty