Provider Demographics
NPI:1922031038
Name:CONNECTIONS INDIVIDUAL AND FAMILY SERVICES, INC.
Entity type:Organization
Organization Name:CONNECTIONS INDIVIDUAL AND FAMILY SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STALLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:830-629-6571
Mailing Address - Street 1:PO BOX 311268
Mailing Address - Street 2:1414 W. SAN ANTONIO STREET
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78131-1268
Mailing Address - Country:US
Mailing Address - Phone:830-629-6571
Mailing Address - Fax:830-608-1262
Practice Address - Street 1:1414 W SAN ANTONIO ST
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-6202
Practice Address - Country:US
Practice Address - Phone:830-629-6571
Practice Address - Fax:830-608-1262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00491EMedicare ID - Type UnspecifiedPROVIDER NUMBER