MEDICARE: ACCESS COMMUNITY CONNECTIONS 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	251S00000X	Community/Behavioral Health Agency
2	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1598625725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESS COMMUNITY CONNECTIONS LLC

Provider Business Mailing Address
First Line	:	PO BOX 359
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-0359
Country	:	US
Telephone Number	:	336-484-1052
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 KNIGHTWOOD DR
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27703-6338
Country	:	US
Telephone Number	:	336-484-1052
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	STARNISHA BURNETTE
Credential	:	QPMH
Telephone Number	:	336-484-1052

Provider Enumeration Date	:	11/12/2025
Last Update Date	:	12/01/2025

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