Provider Demographics
NPI:1871069047
Name:RECONNECT FAMILY SERVICES PLLC
Entity type:Organization
Organization Name:RECONNECT FAMILY SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:VENITA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:252-908-2537
Mailing Address - Street 1:301 S CHURCH ST STE 142
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-5748
Mailing Address - Country:US
Mailing Address - Phone:252-220-5371
Mailing Address - Fax:
Practice Address - Street 1:301 S CHURCH ST STE 142
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-5748
Practice Address - Country:US
Practice Address - Phone:252-220-5371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-15
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty