|
| |
|
1695 South State Street Suite A Dover DE 19901-5148 | |
| (302) 268-4537 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1695 South State Street Suite A, Dover, Delaware |
| Authorized Official Name and Position | Brian Rhodes (CEO) |
| Authorized Official Contact | 2159510300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4700 Wissahickon Ave Suite 126 Philadelphia PA 19144-4248 Ph: (215) 951-0300 | 1695 South State Street Suite A Dover DE 19901-5148 Ph: (302) 268-4537 |
| NPI Number | 1962758243 |
|---|---|
| Provider Enumeration Date | 07/24/2012 |
| Last Update Date | 06/11/2024 |
| Certification Date | 06/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962758243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Northnode Group Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1418 S State St, Dover, DE 19901 Phone: 302-257-3135 Fax: 302-526-2410 | |
Goodnights Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 725 Walker Rd, Dover, DE 19904 Phone: 302-270-3906 | |
Vira Behavioral Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 The Grn Ste A, Dover, DE 19901 Phone: 302-232-5705 | |
Indigo Wellness, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 Kings Hwy Ste 302, Dover, DE 19901 Phone: 302-450-3936 Fax: 302-450-3927 | |
Wellspectrum, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111b S Governors Ave Ste 20788, Dover, DE 19904 Phone: 888-682-3024 |