| Shaping Minds Therapeutic Services, Llc | |
|
276 E Main St Ste 203 Newark DE 19711-7356 | |
| (302) 731-1022 | |
| Not Available |
| Full Name | Shaping Minds Therapeutic Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 276 E Main St Ste 203, Newark, Delaware |
| Authorized Official Name and Position | Joanne Figliola (GROUP BILLER) |
| Authorized Official Contact | 3027439858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaping Minds Therapeutic Services, Llc 276 E Main St Ste 203 Newark DE 19711-7356 Ph: (302) 731-1022 | Shaping Minds Therapeutic Services, Llc 276 E Main St Ste 203 Newark DE 19711-7356 Ph: (302) 731-1022 |
| NPI Number | 1588288005 |
|---|---|
| Provider Enumeration Date | 06/01/2020 |
| Last Update Date | 06/01/2020 |
| Certification Date | 06/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588288005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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