A CENTER FOR MENTAL WELLNESS COMMUNITY SUPPORT PROGRAMS, LLC (NPI# 1285118679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285118679 |
| Entity Type | Organization |
| Organization Name | A CENTER FOR MENTAL WELLNESS COMMUNITY SUPPORT PROGRAMS, LLC |
| Other Organization Name | CHRYSALIS FOR YOUTH IN NEW CASTLE AT ACFMW |
| Practice Address |
25 S. Old Baltimore Pike Lafayette Building 1, Suite 201 Newark DE 19702 |
| Practice Telephone | 3022666200 |
| Practice Fax Number | 3022666212 |
| Mailing Telephone | 3022666200 |
| Mailing Fax Number | 3022666212 |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | LAUREN ELIZABETH TINSLEY (MANAGING MEMBER) |
| Authorized Official Telephone | 3026741397 |
| Authorized Official Credential | LPCMH |
| Is Organization Subpart | Y |
| Parent Organization Name | A CENTER FOR MENTAL WELLNESS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | DSCYF | 1639325822 | 01 |
| Other Name | Type Code |
|---|---|
| Chrysalis for Youth in New Castle at ACFMW | Doing Business As Name - Organization |
| Chrysalis Youth in New Castle at ACFMW | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063982114 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-12-03 |
| 1427528678 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-11-30 |
| 1801361977 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-10-04 |
| 1356816433 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-10-04 |
| 1881169969 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-10-04 |
| 1699240770 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-10-04 |
| 1255806337 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-10-04 |
| 1225503303 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-10-04 |
| Street Address |
25 S. OLD BALTIMORE PIKE LAFAYETTE BUILDING 1, SUITE 201 |
| City | NEWARK |
| State | DE |
| Zip Code | 19702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801361977 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-10-04 |
| 1881169969 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407467814 | Leilanie Redondiez | Physical Therapist | 110 Blue Ridge Circle, Newark, DE 19702 | 2020-08-11 |
| 1124510854 | Shena Williams | Counselor | 1423 Capital Trail Rd, Newark, DE 19702 | 2018-05-30 |
| 1437664737 | Excellence Home Care LLC | Home Health | 122 Delaware Street, New Castle, DE 19702 | 2017-12-08 |
| 1710496773 | Kirt Leigh Randolph | Physical Therapy Assistant | 229 Barrett Run Place, Newark, DE 19702 | 2017-09-21 |
| 1871014399 | Edeline Elicin | Marriage & Family Therapist | 260 Chapman Road, Suite 100-b, Newark, DE 19702 | 2017-07-06 |
| 1831646454 | Rickia Izetta Spivey-kennedy | Counselor | 36 Avignon Drive, Newark, DE 19702 | 2016-09-01 |
| 1134585748 | Thomas Wolters | Pharmacist | 248 Chaoman Road, Newark, DE 19702 | 2016-01-12 |
| 1851700686 | Candice Roberts | Nurse Practitioner | 100 Biddle Ave Ste 101, Newark, DE 19702 | 2014-08-06 |
| 1316367428 | Evyline Chioma | Occupational Therapist | 25 Buttonwood Ct., Newark, DELAWARE 19702 | 2014-04-16 |
| 1295160307 | Kathleen D. Koontz | Counselor | 260 Chapman Road, 100 B, Newark, DE 19702 | 2013-09-08 |
| Find all providers in zip 19702 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801361977 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-10-04 |
| 1881169969 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-10-04 |
| 1578011185 | Devereux Foundation | Clinic/Center | 630 Churchmans Rd, Newark, DE 19702-1900 | 2016-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548795859 | Connections Community Support Programs, Inc. | Clinic/Center | 350 N. High Street Extension, Smyrna, DE 19977 | 2017-04-24 |
| 1861820318 | A Better Chance for Our Children, Inc. | Clinic/Center | 1307 Philadelphia Pike, Wilmington, DE 19809 | 2013-10-19 |
| 1417192584 | Psychotherapeutic Services Inc | Clinic/Center | 630 W. Division St, Suite F, Dover, DE 19904 | 2008-12-03 |
| 1760636013 | Psychotherapeutic Children's Services | Clinic/Center | 630 W Division Street, Suite F, Dover, DE 19904 | 2008-11-13 |
| 1780733170 | Aquila of Delaware, Inc | Clinic/Center | 1812 Newport Gap Pike, Wilmington, DE 19808-6179 | 2007-01-09 |
| 1164501318 | State of Delaware Dscyf | Clinic/Center | 493 E Main St, Middletown, DE 19709-1463 | 2006-11-06 |
| 1144309394 | State of Delaware Dscyf | Clinic/Center | 1825 Faulkland Rd, Wilmington, DE 19805-1121 | 2006-11-06 |
| 1356816433 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-10-04 |
| 1699240770 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-10-04 |
| 1255806337 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-10-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.