Open Minds Therapy | |
11 Riptide Ct Frederica DE 19946-2112 | |
(302) 751-2003 | |
Not Available |
Full Name | Open Minds Therapy |
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Speciality | Social Worker |
Location | 11 Riptide Ct, Frederica, Delaware |
Authorized Official Name and Position | Kevin Daniels (OWNER) |
Authorized Official Contact | 3027512003 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Open Minds Therapy 11 Riptide Ct Frederica DE 19946-2112 Ph: (302) 751-2003 | Open Minds Therapy 11 Riptide Ct Frederica DE 19946-2112 Ph: (302) 751-2003 |
NPI Number | 1821870916 |
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Provider Enumeration Date | 10/16/2023 |
Last Update Date | 09/10/2024 |
Certification Date | 09/10/2024 |
Medicare PECOS PAC ID | 0941659437 |
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Medicare Enrollment ID | O20231208002626 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821870916 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Kevin Peterson Daniels |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922726454 PECOS PAC ID: 1557717436 Enrollment ID: I20231030000307 |
Pamela Shockley, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Hudson Branch Dr, Frederica, DE 19946 Phone: 302-359-6777 |