Provider Demographics
NPI:1528887163
Name:CARRYING CONNECTIONS LLC
Entity type:Organization
Organization Name:CARRYING CONNECTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEMARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-550-6972
Mailing Address - Street 1:5904 THORNDALE LN APT 3
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-2870
Mailing Address - Country:US
Mailing Address - Phone:805-550-6972
Mailing Address - Fax:
Practice Address - Street 1:132 N SYCAMORE ST STE A-47
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23803-3262
Practice Address - Country:US
Practice Address - Phone:805-550-6972
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-09
Last Update Date:2024-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health