Healthcare Provider Details

I. General information

NPI: 1508453911
Provider Name (Legal Business Name): CONSULTING CONNECTION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2020
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 INDUSTRIAL CT STE 201
FREDERICKSBURG VA
22408-2443
US

IV. Provider business mailing address

PO BOX 1132
DUMFRIES VA
22026-9132
US

V. Phone/Fax

Practice location:
  • Phone: 571-389-3630
  • Fax: 703-214-6239
Mailing address:
  • Phone: 703-843-8556
  • Fax: 703-214-6239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: BARBARA ELIZABETH TATE
Title or Position: OWNER, MANAGING MEMBER
Credential:
Phone: 703-843-8556