LIFESPAN COUNSELING AT THE KIDS COUCH INC LLC (NPI# 1710423041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710423041 |
| Entity Type | Organization |
| Organization Name | LIFESPAN COUNSELING AT THE KIDS COUCH INC LLC |
| Practice Address |
5700 Kirkwood Hwy Suite 203 Wilmington DE 19808-4857 |
| Practice Telephone | 3023848222 |
| Practice Fax Number | 3024076698 |
| Mailing Telephone | 3023848222 |
| Mailing Fax Number | 3024076698 |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-01-10 |
| Authorized Official Name | OLGA YATZUS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3023848222 |
| Authorized Official Credential | LPCMH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
PC-0000362 | DE | Behavioral Health & Social Service Providers |
| Street Address |
5700 KIRKWOOD HWY SUITE 203 |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19808-4857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205822970 | Nancy Gordon | Social Worker | 5700 Kirkwood Hwy, Sutie 104, Wilmington, DE 19808-4857 | 2005-09-27 |
| 1770190316 | Kimberly Robinson | Counselor | 5700 Kirkwood Hwy, Wilmington, DE 19808-4857 | 2020-09-28 |
| 1275083636 | Delaware Psychiatry, LLC | Psychiatry & Neurology | 5700 Kirkwood Hwy, Suite 107, Wilmington, DE 19808-4857 | 2016-10-10 |
| 1932583267 | Proactive Healthcare Services, LLC | Home Health | 5700 Kirkwood Hwy, Suite 105a, Wilmington, DE 19808-4857 | 2015-07-16 |
| 1376935973 | Linda L Silvis | Massage Therapist | 5700 Kirkwood Hwy, #206, Wilmington, DE 19808-4857 | 2015-02-19 |
| 1700010568 | Toad 11 Inc. | Social Worker | 5700 Kirkwood Hwy, Suite 104, Wilmington, DE 19808 | 2009-05-08 |
| 1124291133 | Rebecca Benson | Clinical Nurse Specialist | 5700 Kirkwood Hwy, Suite 107, Wilmington, DE 19808-4857 | 2008-04-10 |
| 1821282823 | Gwendolyn Hayes | Registered Nurse | 5700 Kirkwood Hwy, Wilmington, DE 19808-4857 | 2007-09-02 |
| 1235322793 | Tanya Monique Pitts-jackson | Technician | 5700 Kirkwood Hwy, Suite 203, Wilmington, DE 19808-4857 | 2007-08-19 |
| 1578753547 | Loving Care Agency, Inc | Home Health | 5700 Kirkwood Hwy, Suite 100, Wilmington, DE 19808-4857 | 2007-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800562 | Chukwufumnanya Judith Ojo | Nurse Practitioner | 5233 W Woodmill Dr., Suite 46, Wilmington, DE 19808 | 2020-08-06 |
| 1609496124 | Doko Medical Inc. | Psychologist | 3422 Old Capitol Trail, # 626, Wilmington, DE 19808 | 2020-04-24 |
| 1861045544 | Terry Lea Ramsey | Social Worker | 5234 W. Woodmill Drive, Unit 46, Wilmington, DE 19808 | 2019-07-22 |
| 1699266387 | Brandywine Podiatry, Pa | Durable Medical Equipment & Medical Supplies | 5311 Limestone Rd Ste 200, Stoney Batter II, Wilmington, DE 19808 | 2018-05-29 |
| 1225551948 | Donald Lambert IIi | Massage Therapist | 1900 Newport Gap Pike, Wilmington, DE 19808 | 2017-07-25 |
| 1952830374 | Rachelle Najula Mclellan | Physical Therapist | 2215 Saint Francis St, Wilmington, DE 19808 | 2017-06-08 |
| 1477087401 | Rca Outpatient Services LLC | Clinic/Center | Recovery Centers of America At Delaware, 2383 Limestone Road, Wilmington, DE 19808 | 2017-04-17 |
| 1922557727 | Legacy Treatment Services | Community/Behavioral Health | 5602 Kirkwood Highway, Wilmington, DE 19808 | 2016-09-22 |
| 1235590993 | Jingbo Sun | Pharmacist | 1308 Centerville Rd., Wilmington, DE 19808 | 2016-03-09 |
| 1316321599 | Wayne Kevin Pansa Jr. | Social Worker | 5205 W Woodmill Dr Ste 33, Wilmington, DE 19808 | 2015-07-16 |
| Find all providers in zip 19808 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656172 | Jennifer Hickman Grimm | Counselor | 1014 Steeplechase Rd, Wilmington, NC 28412-7206 | 2020-10-14 |
| 1821696717 | Tessa Jane Bolz | Counselor | 2426 Monroe St, Wilmington, NC 28401-7026 | 2020-10-13 |
| 1588278600 | Kimberly Jackson | Counselor | 2703 N Harrison St, Wilmington, DE 19802-2924 | 2020-09-04 |
| 1134746399 | Heather Nicole Freeman | Counselor | 771 Bonaire Rd, Wilmington, NC 28412-3282 | 2020-07-02 |
| 1497393441 | Julie Elaine Campana | Counselor | 501 Silverside Rd Ste 50, Wilmington, DE 19809-1388 | 2019-12-19 |
| 1205473360 | Keonna M Freeman | Counselor | 5700 Kirkwood Hwy Ste 204, Wilmington, DE 19808-4884 | 2019-12-06 |
| 1699311381 | Rebecca L Dries | Counselor | 1201 W 7th St Apt 3, Wilmington, DE 19805-3258 | 2019-11-18 |
| 1811532286 | Carolyn Elizabeth Lehman | Counselor | 815 N Harrison St, Wilmington, DE 19806-4628 | 2019-11-09 |
| 1639713183 | Richard Luke Loveless Jr. | Counselor | 3719 Washington Ave, Wilmington, DE 19808-6034 | 2019-10-28 |
| 1396388153 | Jennifer Cook | Counselor | 5710 Oleander Dr Ste 112, Wilmington, NC 28403-4722 | 2019-10-24 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19808 |
Please comment or provide details below to improve the information on LIFESPAN COUNSELING AT THE KIDS COUCH INC LLC.
| 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.