Provider Demographics
NPI:1497921498
Name:THERAPY CONNECTIONS, INC.
Entity Type:Organization
Organization Name:THERAPY CONNECTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:LINDSEY
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:910-232-4297
Mailing Address - Street 1:PO BOX 1761
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28402-1761
Mailing Address - Country:US
Mailing Address - Phone:910-799-0303
Mailing Address - Fax:910-799-0303
Practice Address - Street 1:3807 WRIGHTSVILLE AVE
Practice Address - Street 2:OFFICE 20
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-8441
Practice Address - Country:US
Practice Address - Phone:910-799-0303
Practice Address - Fax:910-799-0303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7288235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7288OtherNORTH CAROLINA LICENSE
NC7412586Medicaid