Healthcare Provider Details

I. General information

NPI: 1629907019
Provider Name (Legal Business Name): THE CARDINAL CONNECTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 SMITH CIR
STALLINGS NC
28104-4992
US

IV. Provider business mailing address

227 W 4TH ST FL 1
CHARLOTTE NC
28202-1545
US

V. Phone/Fax

Practice location:
  • Phone: 844-771-7337
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA HEWETT
Title or Position: MEMBER
Credential:
Phone: 561-252-9389