Provider Demographics
NPI:1871485748
Name:CONNECTION COUNSELING LLC
Entity type:Organization
Organization Name:CONNECTION COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAXIMUS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:949-973-0441
Mailing Address - Street 1:1469 MONTEREY DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-9003
Mailing Address - Country:US
Mailing Address - Phone:949-973-0441
Mailing Address - Fax:
Practice Address - Street 1:1 BOARS HEAD PL STE 120
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-4628
Practice Address - Country:US
Practice Address - Phone:434-207-2961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health