Provider Demographics
NPI:1548133218
Name:3CS COMMUNITY CONNECTION CONSORTIUM LLC
Entity type:Organization
Organization Name:3CS COMMUNITY CONNECTION CONSORTIUM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:N
Authorized Official - Last Name:HABAQE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, CCMHC
Authorized Official - Phone:703-489-4823
Mailing Address - Street 1:13381 BROOKFIELD CT
Mailing Address - Street 2:
Mailing Address - City:CHANTILLY
Mailing Address - State:VA
Mailing Address - Zip Code:20151-2617
Mailing Address - Country:US
Mailing Address - Phone:703-489-4823
Mailing Address - Fax:
Practice Address - Street 1:13381 BROOKFIELD CT
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-2617
Practice Address - Country:US
Practice Address - Phone:703-489-4823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-27
Last Update Date:2025-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty