A Center for Mental Wellness Community Support Programs, LLC

NPI #1427528678 in Dover, Delaware

Provider Information

NPI Number: 1427528678
Entity Type: Organization
Organization Name: A Center for Mental Wellness Community Support Programs, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: A CENTER FOR MENTAL WELLNESS, INC.
Primary Specialty: Clinic/Center - Adult Mental Health
Enumeration Date: Nov 30, 2018
Last Updated: Nov 30, 2018

Practice Location

Address: 121 W LOOCKERMAN ST
City: Dover
State: Delaware
ZIP Code: 19904-7325
Phone: (302) 674-1397

Authorized Official

Name: LAUREN ELIZABETH TINSLEY, LPCMH
Title: MANAGING MEMBER
Phone: (302) 674-1397

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X	Primary

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