Eclectic Therapeutic Connections Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1298943 Issued in NC

Legal business name

ECLECTIC THERAPEUTIC CONNECTIONS INC

Practice address

8601 Six Forks Rd Ste 400
Forum I
Raleigh, NC 27615-2965

Phone

(919) 637-4089

Fax

(888) 462-2058

NPI assigned

Apr 24, 2013

Organization subpart

Yes

Parent organization

ECLECTIC THERAPEUTIC CONNECTIONS, PLLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tanielle Lovevet Arledge Brown, LPC

Title

Ceo

Phone

(919) 637-4089

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanielle Lovevet Arledge Brown, LPC

  • Professional Counselor
  • Raleigh, NC
  • NPI 1659600278
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1073957775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 TEMPIA CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104291",
            "telephone_number": "919-637-4089",
            "fax_number": "888-462-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 SIX FORKS RD STE 400",
            "address_2": "FORUM I",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152965",
            "telephone_number": "919-637-4089",
            "fax_number": "888-462-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECLECTIC THERAPEUTIC CONNECTIONS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ECLECTIC THERAPEUTIC CONNECTIONS, PLLC",
        "enumeration_date": "2013-04-24",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TANIELLE",
        "authorized_official_middle_name": "LOVEVET ARLEDGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-637-4089",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "1298943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.