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1310 Middleford Road Suite 102 Seafond DE 19973-3670 | |
(302) 536-1395 | |
(302) 536-7498 |
Full Name | |
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Speciality | Community/Behavioral Health |
Location | 1310 Middleford Road, Seafond, Delaware |
Authorized Official Name and Position | Susan R Bennett (MEMBER LLC/OWNER) |
Authorized Official Contact | 3025361395 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1310 Middleford Road Suite 102 Seafond DE 19973-3670 Ph: (302) 536-1395 | 1310 Middleford Road Suite 102 Seafond DE 19973-3670 Ph: (302) 536-1395 |
NPI Number | 1689021925 |
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Provider Enumeration Date | 05/17/2016 |
Last Update Date | 02/02/2023 |
Certification Date | 02/02/2023 |
Medicare PECOS PAC ID | 1658739008 |
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Medicare Enrollment ID | O20230616003019 |
Identifier | Type | State | Issuer |
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1689021925 | NPI | - | NPPES |
Provider Name | Meredith Phillips-woodard |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003549734 PECOS PAC ID: 4385003748 Enrollment ID: I20230703000142 |
Provider Name | Pamela Trammell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1295413946 PECOS PAC ID: 0042664450 Enrollment ID: I20231003002368 |
Provider Name | Catrina D Hinds |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1538308929 PECOS PAC ID: 6800266776 Enrollment ID: I20241122001430 |
Provider Name | Laura Harper |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1073095311 PECOS PAC ID: 0244765188 Enrollment ID: I20241202000647 |
Provider Name | Sonia Songui |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1548532799 PECOS PAC ID: 4082084959 Enrollment ID: I20241206002157 |
Provider Name | Susan Mhs Bennett |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1891076782 PECOS PAC ID: 3173993045 Enrollment ID: I20241210004159 |