Resolutions Therapy Group Llc | |
1151 Walker Rd Dover DE 19904-6600 | |
(302) 528-0428 | |
Not Available |
Full Name | Resolutions Therapy Group Llc |
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Speciality | Social Worker |
Location | 1151 Walker Rd, Dover, Delaware |
Authorized Official Name and Position | Shawn Vanvessen (OWNER) |
Authorized Official Contact | 3025280428 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Resolutions Therapy Group Llc 667 Equitation Ln Felton DE 19943-2735 Ph: () - | Resolutions Therapy Group Llc 1151 Walker Rd Dover DE 19904-6600 Ph: (302) 528-0428 |
NPI Number | 1265089387 |
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Provider Enumeration Date | 08/22/2019 |
Last Update Date | 10/02/2019 |
Medicare PECOS PAC ID | 0244560399 |
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Medicare Enrollment ID | O20191002003409 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265089387 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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 |
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