Provider Demographics
NPI:1801112917
Name:COMPREHENSIVE COUNSELING CONNECTIONS PLLC
Entity type:Organization
Organization Name:COMPREHENSIVE COUNSELING CONNECTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GALLANT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:603-856-8163
Mailing Address - Street 1:187 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-5020
Mailing Address - Country:US
Mailing Address - Phone:603-856-8163
Mailing Address - Fax:603-856-8164
Practice Address - Street 1:187 N STATE ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5020
Practice Address - Country:US
Practice Address - Phone:603-856-8163
Practice Address - Fax:603-856-8164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-14
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH750101YM0800X
NH1149103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty