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SURVIVORS OF ABUSE IN RECOVERY INC. NPI 1154386696


NPI Information

NPI: 1154386696
Provider Name: SURVIVORS OF ABUSE IN RECOVERY, INC.

Doing Business As: SOAR

Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
405 FOULK RD
WILMINGTON, DE
ZIP 19803
Phone: (302) 655-3953
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SURVIVORS OF ABUSE IN RECOVERY, INC. is a psychologist in Wilmington, DE. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. SURVIVORS OF ABUSE IN RECOVERY, INC. NPI is 1154386696. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Soar.

The provider's business location address is:

405 FOULK RD
WILMINGTON, DE
ZIP 19803-809
Phone: (302) 655-3953
Fax: (302) 655-1149

The provider's authorized official is Valerie C Marek .
The authorized official title is Executive Director and has the following contact phone number (302) 655-3953.

The enumeration date for this NPI number is 4/18/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologist1993102532DELAWAREYes
2101YM0800XCounselorMental Health1993102532DELAWAREX
31041C0700XSocial WorkerClinical1993102532DELAWAREX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11000025878MEDICAIDDELAWARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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