HEALING ADULTS & ADOLESCENTS RESIDENTIAL TREATMENT PROGRAM LLC (NPI# 1780204297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780204297 |
| Entity Type | Organization |
| Organization Name | HEALING ADULTS & ADOLESCENTS RESIDENTIAL TREATMENT PROGRAM LLC |
| Other Organization Name | CHARLIE'S PLACE |
| Practice Address |
100 Stroud St Wilmington DE 19805-4842 |
| Practice Telephone | 3025219898 |
| Mailing Telephone | 3025219898 |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-04-26 |
| Authorized Official Name | SHERYL ANN HERBERT (CEO/CHIEF ADMINISTRATOR) |
| Authorized Official Telephone | 3025219898 |
| Authorized Official Credential | SCHOOL PSYCHOLOG |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALING ADULTS & ADOLESCENTS RESIDENTIAL TREATMENT PROGRAM LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Charlie's Place | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3560 Wrangle Hill Rd, Bear, DE 197011843 | 3028364000 | 3028363222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158552 | Healing Adults & Adolescents Residential Treatment Program LLC | Clinic/Center | 1158 Bear Corbitt Rd, Bear, DE 19701-1532 | 2020-06-11 |
| 1790224574 | Healing Adults & Adolescents Residential Treatment Program LLC | Clinic/Center | 3560 Wrangle Hill Rd, Bear, DE 19701-1843 | 2017-02-14 |
| Street Address |
100 STROUD ST |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19805-4842 |
| 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 |
| Find all providers in zip 19805 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926465 | Gwen Borcyk, Msw, Lcsw, Pllc | Clinic/Center | 313 Walnut St Ste 106, Wilmington, NC 28401-4063 | 2019-11-18 |
| 1780231878 | Fortitude Psychological Services, Inc. | Clinic/Center | 4900 Randall Pkwy Ste D, Wilmington, NC 28403-2831 | 2019-08-22 |
| 1982117669 | Sound Psychologial Services, Pa | Clinic/Center | 3317 Masonboro Loop Rd Unit 160, Wilmington, NC 28409-2970 | 2017-11-16 |
| 1962859496 | Your Center, LLC | Clinic/Center | 222 Philadelphia Pike Ste 4, Wilmington, DE 19809-3166 | 2016-05-13 |
| 1720408586 | Merakey Allos | Clinic/Center | 101 Rogers Rd, Wilmington, DE 19801-5778 | 2014-04-21 |
| 1598185670 | Merakey Allos | Clinic/Center | 5574 Kirkwood Hwy, Wilmington, DE 19808-5002 | 2014-04-16 |
| 1275972333 | Merakey Allos | Clinic/Center | 5572 Kirkwood Hwy, Wilmington, DE 19808-5002 | 2013-06-21 |
| 1104173509 | Connections Community Support Programs, Inc. | Clinic/Center | 500 W. 10th Street, Wilmington, DE 19801 | 2012-08-06 |
| 1659676617 | Andrew W Donohue Do | Clinic/Center | 34 Harlech Dr, Wilmington, DE 19807-2508 | 2011-01-21 |
| 1558662346 | Focus Behavioral Health,llc | Clinic/Center | 410 Foulk Rd Ste 105, Wilmington, DE 19803-3835 | 2010-11-09 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19805 |
Please comment or provide details below to improve the information on HEALING ADULTS & ADOLESCENTS RESIDENTIAL TREATMENT PROGRAM 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.