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PORT IN THE STORM NPI 1639548852


NPI Information

NPI: 1639548852
Provider Name: PORT IN THE STORM

Doing Business As: PORT IN THE STORM

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
600 W DIVISION ST
DOVER, DE
ZIP 19904
Phone: (302) 735-7738
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PORT IN THE STORM is an addiction (substance use disorder) counselor in Dover, DE. PORT IN THE STORM NPI is 1639548852. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Port In The Storm.

The provider's business location address is:

600 W DIVISION ST
DOVER, DE
ZIP 19904-702
Phone: (302) 735-7738

The provider's authorized official is Sandra Dyer .
The authorized official title is Director and has the following contact phone number (302) 735-7738.

The enumeration date for this NPI number is 9/17/2015 and was last updated on 9/17/2015.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)1912238536DELAWAREYes

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
11000021573MEDICAIDDELAWARE

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

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