Provider Demographics
NPI:1679809610
Name:BUILDING SENSATIONAL CONNECTIONS, PLLC
Entity Type:Organization
Organization Name:BUILDING SENSATIONAL CONNECTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:O'BRIEN
Authorized Official - Last Name:COUNCIL
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:919-749-7675
Mailing Address - Street 1:1116 PEARSON FARMS RD
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-4048
Mailing Address - Country:US
Mailing Address - Phone:919-749-7675
Mailing Address - Fax:919-303-1745
Practice Address - Street 1:2180 N SALEM ST
Practice Address - Street 2:SUITE 103
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27523-6458
Practice Address - Country:US
Practice Address - Phone:919-749-7675
Practice Address - Fax:919-303-1745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1450225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty