Connections Support Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CONNECTIONS SUPPORT SERVICES LLC

Practice address

44 Weston Cir
Ponte Vedra Beach, FL 32081-0650

Phone

(706) 830-5967

NPI assigned

Dec 10, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Jarrett Bolin, LPCNPI 1750479119

Title

Ceo

Phone

(706) 830-5967

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jarrett B Bolin

  • Professional Counselor
  • Augusta, GA
  • NPI 1750479119
  NPD Authorized official

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1366089229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 WESTON CIR",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320810650",
            "telephone_number": "706-830-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 WESTON CIR",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320810650",
            "telephone_number": "706-830-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIONS SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "BOLIN",
        "authorized_official_first_name": "JARRETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-830-5967",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.