Provider Demographics
NPI:1699141432
Name:SUPPORTIVE CONNECTIONS INC.
Entity type:Organization
Organization Name:SUPPORTIVE CONNECTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TASHA
Authorized Official - Middle Name:JONNI
Authorized Official - Last Name:BROWNING
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:352-427-6586
Mailing Address - Street 1:PO BOX 1746
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34478-1746
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:303 SE OSCEOLA AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-2171
Practice Address - Country:US
Practice Address - Phone:352-301-7902
Practice Address - Fax:352-354-9191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-17
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11304101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty