Provider Demographics
NPI:1578182556
Name:CONNECTING DOTS COUNSELING SERVICES
Entity Type:Organization
Organization Name:CONNECTING DOTS COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER, CEO
Authorized Official - Prefix:
Authorized Official - First Name:PUSHPINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:919-698-8194
Mailing Address - Street 1:2305 WOODBURY DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-6620
Mailing Address - Country:US
Mailing Address - Phone:919-698-8194
Mailing Address - Fax:
Practice Address - Street 1:2305 WOODBURY DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-6620
Practice Address - Country:US
Practice Address - Phone:919-698-8194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-10
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental HealthGroup - Single Specialty
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness