| Courageous Hearts Llc | |
|
8848 September Way Lincoln DE 19960-3267 | |
| (302) 593-1378 | |
| (302) 265-2790 |
| Full Name | Courageous Hearts Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8848 September Way, Lincoln, Delaware |
| Authorized Official Name and Position | Rosemary Baughman (DIRECTOR) |
| Authorized Official Contact | 3025931378 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Courageous Hearts Llc 8848 September Way Lincoln DE 19960-3267 Ph: (302) 593-1378 | Courageous Hearts Llc 8848 September Way Lincoln DE 19960-3267 Ph: (302) 593-1378 |
| NPI Number | 1346794476 |
|---|---|
| Provider Enumeration Date | 08/05/2016 |
| Last Update Date | 03/25/2024 |
| Certification Date | 03/25/2024 |
| Medicare PECOS PAC ID | 2466852462 |
|---|---|
| Medicare Enrollment ID | O20210614000689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346794476 | NPI | - | NPPES |
| 1285883975 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | Q1-0000948 (Delaware) | Primary |
| Provider Name | Rosemary Baughman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285883975 PECOS PAC ID: 1658668421 Enrollment ID: I20160921002516 |
| Provider Name | Rebecca M Lorenz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184916694 PECOS PAC ID: 0042612137 Enrollment ID: I20210713000065 |
| Provider Name | Alexis Csw White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710655675 PECOS PAC ID: 4587039706 Enrollment ID: I20230331000603 |
| Provider Name | Abigail Marie Carroll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295448157 PECOS PAC ID: 9335583251 Enrollment ID: I20240220000806 |
| Provider Name | Jessica Lynskey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750923330 PECOS PAC ID: 6608211065 Enrollment ID: I20240226002547 |