Provider Demographics
NPI:1477940666
Name:CONNECTIONS COUNSELING SERVICES, LLC.
Entity type:Organization
Organization Name:CONNECTIONS COUNSELING SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:TRI
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW, LSSW
Authorized Official - Phone:507-421-9676
Mailing Address - Street 1:2215 2ND ST SW STE 200
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55902-4161
Mailing Address - Country:US
Mailing Address - Phone:507-421-9676
Mailing Address - Fax:507-218-2487
Practice Address - Street 1:2215 2ND ST SW STE 200
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-4161
Practice Address - Country:US
Practice Address - Phone:507-421-9676
Practice Address - Fax:507-218-2487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-25
Last Update Date:2015-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN19398101YM0800X, 101YP2500X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty