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A CENTER FOR MENTAL WELLNESS COMMUNITY SUPPORT PROGRAMS LLC NPI 1801361977


NPI Information

NPI: 1801361977
Provider Name: A CENTER FOR MENTAL WELLNESS COMMUNITY SUPPORT PROGRAMS, LLC
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
25 S. OLD BALTIMORE PIKE
LAFAYETTE BUILDING 1, SUITE 201
NEWARK, DE
ZIP 19702
Phone: (022) 666-2003
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A CENTER FOR MENTAL WELLNESS COMMUNITY SUPPORT PROGRAMS, LLC is an adolescent and children mental health clinic center in Newark, DE. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. A CENTER FOR MENTAL WELLNESS COMMUNITY SUPPORT PROGRAMS, LLC NPI is 1801361977. The provider is registered as an organization entity type.

The provider's business location address is:

25 S. OLD BALTIMORE PIKE
LAFAYETTE BUILDING 1, SUITE 201
NEWARK, DE
ZIP 19702
Phone: (022) 666-2003
Fax: (302) 266-6212

The provider's authorized official is Lauren Elizabeth Tinsley .
The authorized official title is Managing Member and has the following contact phone number (302) 674-1397.

The enumeration date for this NPI number is 10/4/2018 and was last updated on 6/11/2019.


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
1261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

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
11639325822OTHERDELAWAREDSCYF

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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