| Lifespan Counseling At The Kids Couch Inc Llc | |
|
5700 Kirkwood Hwy Suite 203 Wilmington DE 19808-4857 | |
| (302) 384-8222 | |
| (302) 407-6698 |
| Full Name | Lifespan Counseling At The Kids Couch Inc Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5700 Kirkwood Hwy, Wilmington, Delaware |
| Authorized Official Name and Position | Olga Yatzus (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3023848222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Counseling At The Kids Couch Inc Llc 5700 Kirkwood Hwy Suite 203 Wilmington DE 19808-4857 Ph: (302) 384-8222 | Lifespan Counseling At The Kids Couch Inc Llc 5700 Kirkwood Hwy Suite 203 Wilmington DE 19808-4857 Ph: (302) 384-8222 |
| NPI Number | 1710423041 |
|---|---|
| Provider Enumeration Date | 01/10/2017 |
| Last Update Date | 01/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710423041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PC-0000362 (Delaware) | Primary |
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