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General NPI Number Information
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NPI Number | 1003398421
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Entity Type | Organization
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Legal Business Name | CONNECTIONS WELLNESS GROUP
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Dates
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Enumeration Date | 09/01/2018
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 6101 W PLANO PKWY STE 240
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City | PLANO
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State | TX
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Zip | 75093-8373
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Country | US
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Telephone | 940-360-4245
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Fax | 940-228-1298
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Provider Business Mailing Address
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Address Line | 6101 W PLANO PKWY STE 230
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City | PLANO
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State | TX
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Zip | 75093-8373
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Country | US
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Telephone | 940-360-4245
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Fax | 940-666-3200
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Authorized Official
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Title or Position | VP OF RCM AND PAYOR RELATIONS
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Name | MELISSA A BAILEY
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Credential |
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Telephone | 972-935-1409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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