Therapeutic Community Connections, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4997 Issued in NC

Legal business name

THERAPEUTIC COMMUNITY CONNECTIONS, PLLC

Practice address

4804 Stowe Derby Dr
Charlotte, NC 28278-7342

Phone

(704) 999-7588

NPI assigned

May 20, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Nina Michele Gonzalez, LPC

Title

Executive Director

Phone

(704) 999-7588

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.

• Nina Michele Davis, LPC

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1386963049
  NPD (past)

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1801115563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 STOWE DERBY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787342",
            "telephone_number": "704-999-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 STOWE DERBY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787342",
            "telephone_number": "704-999-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC COMMUNITY CONNECTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-999-7588",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "4997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Neely Theodossiou, OTR/L
• Ashley Theogene, COTA
• Theracare Health & Wellness
• Theracare Health and Wellness, LLC
• Therapeutic Community Concept LLC
• Therapeutic Embrace Occupational Therapy Services
• Therapeutic Encouraging Academic Motivational Support Services LLC
• Therapeutic Family and Community Services
• Therapeutic Intervention Group, LLC
• Therapeutic Services Group

• 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 May 20, 2010; 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.