A Center For Mental Wellness Community Support Programs, Llc | |
121 W Loockerman St Dover DE 19904 | |
(302) 674-1397 | |
Not Available |
Full Name | A Center For Mental Wellness Community Support Programs, Llc |
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Speciality | Counselor |
Location | 121 W Loockerman St, Dover, Delaware |
Authorized Official Name and Position | Lauren E Tinsley (PRESIDENT) |
Authorized Official Contact | 3026741397 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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A Center For Mental Wellness Community Support Programs, Llc 121 W Loockerman St Dover DE 19904-7325 Ph: (302) 674-1397 | A Center For Mental Wellness Community Support Programs, Llc 121 W Loockerman St Dover DE 19904 Ph: (302) 674-1397 |
NPI Number | 1639325822 |
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Provider Enumeration Date | 08/07/2008 |
Last Update Date | 07/18/2018 |
Medicare PECOS PAC ID | 1456408897 |
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Medicare Enrollment ID | O20090422000107 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639325822 | NPI | - | NPPES |
1639325822 | Medicaid | DE |
Provider Name | Gwynn A Stup |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942242664 PECOS PAC ID: 5193754703 Enrollment ID: I20050804000245 |
Provider Name | Fawzia K Hasan |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1467506915 PECOS PAC ID: 3274639802 Enrollment ID: I20070427000463 |
Provider Name | Karen E Mcmillan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205050127 PECOS PAC ID: 9436242799 Enrollment ID: I20070904000172 |
Provider Name | David W Nixon |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1316013329 PECOS PAC ID: 7911061114 Enrollment ID: I20090203000560 |
Provider Name | E. Faye Bibee Friedman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013929397 PECOS PAC ID: 6709940174 Enrollment ID: I20090203000589 |
Provider Name | Christina Lanouette |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952410508 PECOS PAC ID: 9032247663 Enrollment ID: I20100503000280 |
Provider Name | Frank H Everett |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1396897716 PECOS PAC ID: 2567454689 Enrollment ID: I20100608000654 |
Provider Name | Shawn M Vanvessen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265597009 PECOS PAC ID: 0840320479 Enrollment ID: I20100609000036 |
Provider Name | Patricia A Guarriello |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649292210 PECOS PAC ID: 2466578703 Enrollment ID: I20100924000034 |
Provider Name | Margaret Shaw |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952619157 PECOS PAC ID: 0042485930 Enrollment ID: I20111205000155 |
Provider Name | Larry K Wise |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1407982721 PECOS PAC ID: 7416922851 Enrollment ID: I20111229000074 |
Provider Name | Jeanne L Muller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518003862 PECOS PAC ID: 4789636036 Enrollment ID: I20120904000773 |
Provider Name | Anna M Hoier |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1740329564 PECOS PAC ID: 9638110406 Enrollment ID: I20131030001116 |
Provider Name | Linda C Goodnight Halverson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538581467 PECOS PAC ID: 8123340304 Enrollment ID: I20141124002239 |
Provider Name | Kim D Bursler |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699034223 PECOS PAC ID: 4880910660 Enrollment ID: I20150313001985 |
Provider Name | Patti G Rodgers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730497330 PECOS PAC ID: 1456672799 Enrollment ID: I20160331001487 |
Provider Name | Kareemah A Hammond |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588192421 PECOS PAC ID: 1052680147 Enrollment ID: I20170705002438 |
Provider Name | Pamela K Shockley |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558614503 PECOS PAC ID: 7113287442 Enrollment ID: I20180207000542 |
Provider Name | Rhonda L Montgomery |
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Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1790047017 PECOS PAC ID: 5395006548 Enrollment ID: I20180302001661 |
Provider Name | Linda Susan Trowbridge |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558639047 PECOS PAC ID: 1254590052 Enrollment ID: I20210628000060 |
Provider Name | Quinesha Harris |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588249387 PECOS PAC ID: 3072985134 Enrollment ID: I20230218000163 |
Provider Name | Franklin H Everett |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1679892574 PECOS PAC ID: 8022469626 Enrollment ID: I20240108005726 |
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