MEDICARE: 3CS COMMUNITY CONNECTION CONSORTIUM LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1548133218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	3CS COMMUNITY CONNECTION CONSORTIUM LLC

Provider Business Mailing Address
First Line	:	13381 BROOKFIELD CT
Second Line	:
City	:	CHANTILLY
State	:	VA
Zip	:	20151-2617
Country	:	US
Telephone Number	:	703-489-4823
Fax Number	:

Provider Business Practice Location Address
First Line	:	13381 BROOKFIELD CT
Second Line	:
City	:	CHANTILLY
State	:	VA
Zip	:	20151-2617
Country	:	US
Telephone Number	:	703-489-4823
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	HEATHER HABAQE
Credential	:	LPC, CCMHC
Telephone Number	:	703-489-4823

Provider Enumeration Date	:	09/27/2025
Last Update Date	:	03/17/2026

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