Provider Type Icon

SELF REALIZATION LLC NPI 1487982880


NPI Information

NPI: 1487982880
Provider Name: SELF REALIZATION, LLC

Doing Business As: WISDOM COUNSELING

Classification: Psychologist - 103TH0100X
Entity Type: Organization

Specialization: Health Service

Address:
102 SLEEPY HOLLOW DR
STE 200
MIDDLETOWN, DE
ZIP 19709
Phone: (302) 312-8221
Get Directions

SELF REALIZATION, LLC is a health service psychologist in Middletown, DE. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). SELF REALIZATION, LLC NPI is 1487982880. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wisdom Counseling.

The provider's business location address is:

102 SLEEPY HOLLOW DR
STE 200
MIDDLETOWN, DE
ZIP 19709-841
Phone: (302) 312-8221

The provider's authorized official is Earl Walker .
The authorized official title is Executive Director and has the following contact phone number (302) 312-8221.

The enumeration date for this NPI number is 11/23/2009 and was last updated on 2/4/2010.


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
1103TH0100XPsychologistHealth ServiceB10000757DELAWAREYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.