Provider Demographics
NPI:1104548437
Name:CONNECTION MATTERS LLC
Entity type:Organization
Organization Name:CONNECTION MATTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:NASRALLA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:970-317-5230
Mailing Address - Street 1:314 BROOKHILL DR
Mailing Address - Street 2:
Mailing Address - City:PAGOSA SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81147-9500
Mailing Address - Country:US
Mailing Address - Phone:970-317-5230
Mailing Address - Fax:
Practice Address - Street 1:422 PAGOSA ST STE 9
Practice Address - Street 2:
Practice Address - City:PAGOSA SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81147-9955
Practice Address - Country:US
Practice Address - Phone:970-317-5230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty