A CENTER FOR MENTAL WELLNESS COMMUNITY SUPPORT PROGRAMS, LLC (NPI# 1427528678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427528678 |
Entity Type | Organization |
Organization Name | A CENTER FOR MENTAL WELLNESS COMMUNITY SUPPORT PROGRAMS, LLC |
Practice Address |
121 W Loockerman St Dover DE 19904-7325 |
Practice Telephone | 3026741397 |
Practice Fax Number | 3026741602 |
Mailing Telephone | 3026741397 |
Mailing Fax Number | 3026741602 |
Enumeration Date | 2018-11-30 |
Last Update Date | 2018-11-30 |
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 | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DE | 1639325822 | 05 |
Other Name | Type Code |
---|---|
Chrysalis in Sussex at ACFMW | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285118679 | A Center for Mental Wellness Community Support Programs, LLC | Substance Abuse Rehabilitation Facility | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-09-20 |
1063982114 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-12-03 |
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 |
121 W LOOCKERMAN ST |
City | DOVER |
State | DE |
Zip Code | 19904-7325 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013929397 | E Faye Bibee Friedman | Social Worker | 121 W Loockerman St, Dover, DE 19904 | 2006-08-13 |
1134776750 | Jessica Lea Abernathey | Counselor | 121 W Loockerman St, Dover, DE 19904-7325 | 2019-08-19 |
1063982114 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-12-03 |
1710453717 | A Center for Mental Wellness Community Support Program | Counselor | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-10-17 |
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 |
1225503303 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-10-04 |
1457860215 | A Center for Mental Wellness, Inc. | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2017-09-25 |
1548781263 | Jason Abernathey | Counselor | 121 W Loockerman St, Dover, DE 19904-7325 | 2017-07-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215534318 | Stanford Community Development Corporation, Inc | Community Health Worker | 111 South West Street, Suite 5, Dover, DE 19904 | 2020-10-02 |
1770145120 | Cara May O'reilly | Nurse Practitioner | 540 S. Governors Ave, Ste 101a, Dover, DE 19904 | 2019-07-07 |
1639631716 | Victoria Louise Sisson | Physical Therapy Assistant | 301 South Banning Street, Dover, DE 19904 | 2019-04-05 |
1336603091 | Ashley Santana | Counselor | 32 West Lookerman Street, Suite #103, Dover, DE 19904 | 2019-01-28 |
1679059869 | Vicdania Home Services | Technician | 1019 South Govenors Avenue, Dover, DE 19904 | 2018-07-11 |
1295221372 | Pam Squared At Dover LLC | Rehabilitation Hospital | 1240 Mckee Road, Dover, DE 19904 | 2018-07-02 |
1871000869 | Ronald Allen Beard | Counselor | 44 Carver Road, Dover, DE 19904 | 2017-12-29 |
1508376518 | First State Orthopaedics, Pa | Orthopaedic Surgery | 285 Beiser Blvd, Ste 201, Dover, DE 19904 | 2017-10-04 |
1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
1811352826 | West Dover Dental, LLC | Dentist | 2 Greentree Drive, Dover, DE 19904 | 2015-12-17 |
Find all providers in zip 19904 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912466335 | Be. Counseling, LLC | Clinic/Center | 251 Central Ave Ste 3, Dover, NH 03820-4188 | 2019-03-15 |
1902381114 | Mary Boucher Licsw | Clinic/Center | 6 Old Rochester Rd Ste 102c, Dover, NH 03820-2028 | 2018-10-03 |
1548539497 | Amy Didden, Lcsw, LLC | Clinic/Center | 884 Walker Rd, Suite 5c, Dover, DE 19904-2758 | 2011-12-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104426436 | A New Beginning Counseling | Clinic/Center | 410 N Ramunno Dr Unit 312, Middletown, DE 19709-3090 | 2020-10-27 |
1386241073 | The Art of Becoming - Practice of Marriage & Family Therapy, LLC | Clinic/Center | 39 Perth St, Bear, DE 19701-4763 | 2020-10-06 |
1477087401 | Rca Outpatient Services LLC | Clinic/Center | Recovery Centers of America At Delaware, 2383 Limestone Road, Wilmington, DE 19808 | 2017-04-17 |
1790015832 | Holcomb Associates Inc. | Clinic/Center | 107 Pennsylvania Ave, Seaford, DE 19973-3817 | 2010-01-13 |
1114079654 | Ats of Delaware, LLC | Clinic/Center | 2999 Philadelphia Pike, Claymont, DE 19703-2507 | 2007-01-17 |
1306886882 | Holcomb Associates Inc. | Clinic/Center | 254 E Main St, Newark, DE 19711-7311 | 2006-06-07 |
1518929850 | Pace, Inc. | Clinic/Center | 5171 W Woodmill Dr, Suite 9, Wilmington, DE 19808-4067 | 2006-04-03 |
1598391013 | Sun Behavioral Delaware, LLC | Clinic/Center | 21655 Biden Ave, Georgetown, DE 19947-4573 | 2020-03-16 |
1487116430 | Christiana Care Health Initiatives | Clinic/Center | 501 W 14th St Ste 1e40, Wilmington, DE 19801-1013 | 2019-04-01 |
1124586938 | Savida Agency, Inc. | Clinic/Center | 4923 Ogletown Stanton Rd Ste 110, Newark, DE 19713-2081 | 2019-03-11 |
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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.