Carolina Cross Connection, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CAROLINA CROSS CONNECTION, INC

Practice address

9106 Bryant Farms Rd
Charlotte, NC 28277-1644

Phone

(704) 266-0301

NPI assigned

Oct 30, 2024

Last updated

Oct 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brittany Bethel

Title

Executive Director

Phone

(704) 266-0301

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1083436950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 TORINGDON WAY STE 200208",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9106 BRYANT FARMS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771644",
            "telephone_number": "704-266-0301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Pryor St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282084141",
            "country_code": "US",
            "telephone_number": "704-266-0301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA CROSS CONNECTION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "BETHEL",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-266-0301"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carolina Counseling Co PLLC
• Carolina Counseling Group, LLC
• Carolina Dermatology, LLC
• Carolina Diagnostics, Inc
• Carolina Digestive Health Associates, PA (Carolina Digestive Endoscopy Center)
• Carolina Digestive Health Associates, PA
• Carolina Disc Associates, P.C.

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, 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 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.