Connect3 Healthcare Services LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS-24279 Issued in NC

Legal business name

CONNECT3 HEALTHCARE SERVICES LLC

Practice address

1088 NC Hwy 86N
Yanceyville, NC 27379

Phone

(336) 694-4930

NPI assigned

Aug 28, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Eugene Perkins, EDD, MSWNPI 1487747531

Title

Owner/Ceo

Phone

(910) 797-0787

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Gregory Eugene Perkins, LCASA, LAPSW

  • Addiction (Substance Use Disorder) Counselor
  • Fayetteville, NC
  • NPI 1487747531
  NPD Authorized official

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1942781836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2744 RIVERCLIFF RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013372",
            "telephone_number": "910-797-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 NC HWY 86N",
            "city": "YANCEYVILLE",
            "state": "NC",
            "postal_code": "27379",
            "telephone_number": "336-694-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT3 HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "910-797-0787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD, MSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-24279",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Yanceyville, NC
• Providers in Yanceyville, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.