TSB Direct Care Connection

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TSB DIRECT CARE CONNECTION

Practice address

404 Hope Mills Rd
Fayetteville, NC 28304

Phone

(910) 487-6500

Fax

(910) 487-6500

NPI assigned

Jun 11, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Tashonda Shavette Brown

Title

Ceo

Phone

(910) 487-6500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1588867097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42033",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283092033",
            "telephone_number": "910-487-6500",
            "fax_number": "910-487-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 HOPE MILLS RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28304",
            "telephone_number": "910-487-6500",
            "fax_number": "910-487-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSB DIRECT CARE CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TASHONDA",
        "authorized_official_middle_name": "SHAVETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-487-6500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Fayetteville, 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 Jul 31, 2007; 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.