Provider Demographics
NPI:1902658248
Name:MYRECONNECTIONS LLC
Entity Type:Organization
Organization Name:MYRECONNECTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRETT
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:443-614-9485
Mailing Address - Street 1:560 CHRISTINA DR APT 207
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33414-2184
Mailing Address - Country:US
Mailing Address - Phone:443-614-9485
Mailing Address - Fax:
Practice Address - Street 1:560 CHRISTINA DR APT 207
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33414-2184
Practice Address - Country:US
Practice Address - Phone:443-614-9485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty