BRANDYWINE COUNSELING & COMMUNITY SERVICES, INC.


Address: 2713 Lancaster Ave, Wilmington, DE 19805-5220
Phone: 3022259267

BRANDYWINE COUNSELING & COMMUNITY SERVICES, INC. (NPI# 1346320983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346320983
Entity Type Organization
Organization Name BRANDYWINE COUNSELING & COMMUNITY SERVICES, INC.
Practice Address 2713 Lancaster Ave
Wilmington
DE 19805-5220
Practice Telephone 3022259267
Practice Fax Number 3026558920
Mailing Telephone 3022259267
Mailing Fax Number 3026558920
Enumeration Date 2006-10-17
Last Update Date 2017-05-02
Authorized Official Name MRS. LYNN M FAHEY (CEO)
Authorized Official Telephone 3022259269
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM2800X Clinic/Center
Specialization: Methadone Clinic
Ambulatory Health Care Facilities
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
DE 0000884757 05
DE 0000047051 05
DE 1000024022 05

Office Location

Street Address 2713 LANCASTER AVE
City WILMINGTON
State DE
Zip Code 19805-5220

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851999221 Lanisha Soto Technician/Technologist 2713 Lancaster Ave, Wilmington, DE 19805-5220 2020-10-16
1376169995 Walidah Muhammad Registered Nurse 2713 Lancaster Ave, Wilmington, DE 19805-5220 2020-06-19
1720604341 Carrie Stofanak Counselor 2713 Lancaster Ave, Wilmington, DE 19805-5220 2020-06-19
1477189728 Mia Randall Counselor 2713 Lancaster Ave, Wilmington, DE 19805-5220 2020-03-19
1073148391 Vashita Pierce Case Manager/Care Coordinator 2713 Lancaster Ave, Wilmington, DE 19805-5220 2020-03-06
1801421128 Kimberly Fenton-shomo Licensed Practical Nurse 2713 Lancaster Ave, Wilmington, DE 19805-5220 2020-03-06
1104451426 Andrew Koppel Counselor 2713 Lancaster Ave, Wilmington, DE 19805-5220 2020-03-06
1154956779 Vernell Proctor Counselor 2713 Lancaster Ave, Wilmington, DE 19805-5220 2020-03-04
1619508439 Michelle Wilson Counselor 2713 Lancaster Ave, Wilmington, DE 19805-5220 2020-01-30
1700417532 Latrice Mason Counselor 2713 Lancaster Ave, Wilmington, DE 19805-5220 2020-01-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043854359 Balanced Life Counseling, LLC Social Worker 1621 Howland Street, Wilmington, DE 19805 2019-10-30
1376050468 Chelsey Bayles Counselor 3700 Lancaster Pike, Suite 305, Wilmington, DE 19805 2018-01-10
1629594098 Laura Sullivan-holland Registered Nurse 2713 Lancaster Avenue, Wilmington, DE 19805 2017-08-17
1013362151 Arthur Andrew Dermen Student in an Organized Health Care Education/Training Program 701 North Clayton St, St Francis Hospital - Dept of Family Medicine, Wilmington, DE 19805 2016-04-26
1689031262 Ivps of Delaware Specialist 1305 Kirkwood Highway, Wilmington, DE 19805 2016-01-27
1043689110 Vitality Chiropractic and Rehabilitation Center Chiropractor 807 N Union Street, Wilmington, DE 19805 2015-09-18
1508259425 Karlou Michael Cartwright Nurse Practitioner 1100 South Broom St, Wilmington, DE 19805 2015-03-17
1629494737 Jennie Strickler Registered Nurse 1902 A Maryland Ave., Wilmington, DE 19805 2014-03-13
1487912119 Jamie Johnson Gellock Family Medicine 1802 W 4th Street, Wilmington, DE 19805 2012-05-01
1992089007 Abigail Triemstra Speech-Language Pathologist 1502 Spruce Avenue, Wilmington, DE 19805 2011-10-07
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982175469 Magnolia Wellness Group, PC Clinic/Center 1904 Eastwood Rd Ste 313, Wilmington, NC 28403-5728 2018-12-10
1477087401 Rca Outpatient Services LLC Clinic/Center Recovery Centers of America At Delaware, 2383 Limestone Road, Wilmington, DE 19808 2017-04-17
1518929850 Pace, Inc. Clinic/Center 5171 W Woodmill Dr, Suite 9, Wilmington, DE 19808-4067 2006-04-03
1487116430 Christiana Care Health Initiatives Clinic/Center 501 W 14th St Ste 1e40, Wilmington, DE 19801-1013 2019-04-01
1821580093 Metta Counseling Inc Clinic/Center 2601 Annand Dr Ste 7, Wilmington, DE 19808 2018-06-04
1225538267 Golden Mean Health, Pllc Clinic/Center 2311 Canterwood Dr, Wilmington, NC 28401-7300 2018-02-16
1518349000 Launch Pad Wellness LLC Clinic/Center 3121 Wrightsville Ave, Wilmington, NC 28403-4111 2015-06-22
1770986564 Suburban Psychiatric Services Clinic/Center 5177 W Woodmill Dr, Suite 6, Wilmington, DE 19808-4067 2014-10-07
1013345560 Concord Behavioral Health Clinic/Center 1300 Pennsylvania Ave, Wilmington, DE 19806-4311 2013-10-20
1699081950 Holcomb Associates Inc. Clinic/Center 2400 W 4th St, Wilmington, DE 19805-3306 2010-08-25
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Competitor

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City WILMINGTON
Zip Code 19805

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Dataset Information

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.

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