Provider Demographics
NPI:1659855674
Name:CONNECTIONS PSYCHOTHERAPY & WELLNESS
Entity Type:Organization
Organization Name:CONNECTIONS PSYCHOTHERAPY & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:CARLSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:888-580-5995
Mailing Address - Street 1:1 GALLERIA BLVD STE 1900
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-7553
Mailing Address - Country:US
Mailing Address - Phone:888-580-5995
Mailing Address - Fax:888-580-5995
Practice Address - Street 1:1 GALLERIA BLVD STE 1900
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-7553
Practice Address - Country:US
Practice Address - Phone:888-580-5995
Practice Address - Fax:888-580-5995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-17
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty