Connecting the Dots Therapy, LLC
Organization Active NPI Clinical Social Worker · Pearl, MS
NPI 1992268270 · NPPES record last updated Jun 11, 2019
Key facts
- NPI
- 1992268270
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- CONNECTING THE DOTS THERAPY, LLC
- Practice address
- 3823 Highway 80 E Ste 600
Pearl, MS 39208-4278 - Phone
- (769) 524-4305
- Fax
- (769) 524-4321
- NPI assigned
- Apr 12, 2019
- Organization subpart
- No
Authorized official
- Name
- Jonathan Oneal Winston, MSW, LCSW
- Title
- Owner/Psychotherapist
- Phone
- (769) 524-4305
Practitioners 1
-
Jonathan Oneal Winston, LCSW
National Provider Directory
Locations
3823 Highway 80 E
Ste 600
Pearl, MS 39208
Phone (769) 524-4305
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
3823 Highway 80 E Ste 600
Pearl, MS 39208-4278
Mailing address
PO Box 54475
Pearl, MS 39288-4475
Phone (769) 524-4305
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07504511 | Medicaid | MS |
Other providers in Pearl, MS
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- Jonathan Ashley Colmer
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- Rochelle Vanity Cork
- James Rayburn Cox II
- CS Brown Nutritional Consultants
- Dan Windham Optical, Inc.
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All providers in Pearl, MS · Clinical Social Worker in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.