Provider Demographics
NPI:1811596737
Name:COUNSELING CONNECTIONS LLC
Entity Type:Organization
Organization Name:COUNSELING CONNECTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHABATKA
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:415-840-6822
Mailing Address - Street 1:1831 CARNEROS CIR
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94954-7471
Mailing Address - Country:US
Mailing Address - Phone:415-840-6822
Mailing Address - Fax:
Practice Address - Street 1:1301 REDWOOD WAY STE 223
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94954-1136
Practice Address - Country:US
Practice Address - Phone:415-840-8622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty