A CENTER FOR MENTAL WELLNESS COMMUNITY SUPPORT PROGRAMS, LLC (NPI# 1225503303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225503303 |
Entity Type | Organization |
Organization Name | A CENTER FOR MENTAL WELLNESS COMMUNITY SUPPORT PROGRAMS, LLC |
Other Organization Name | CHRYSALIS FOR YOUTH IN SUSSEX AT ACFMW |
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 | 2018-10-04 |
Last Update Date | 2019-06-11 |
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 | ||
N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DE | DSCYF | 1639325822 | 01 |
Other Name | Type Code |
---|---|
Chrysalis for Youth in Kent/Sussex at ACFMW | Doing Business As Name - Organization |
Chrysalis for Youth 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 |
1427528678 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-11-30 |
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 |
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 |
1427528678 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-11-30 |
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 |
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 |
Find all providers in the same location |
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 | 261QM0855X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adolescent and Children Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417192584 | Psychotherapeutic Services Inc | Clinic/Center | 630 W. Division St, Suite F, Dover, DE 19904 | 2008-12-03 |
1760636013 | Psychotherapeutic Children's Services | Clinic/Center | 630 W Division Street, Suite F, Dover, DE 19904 | 2008-11-13 |
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 |
1154857472 | Union Association of The Children's Home | Clinic/Center | 1012 College Rd, Suite 101, Dover, DE 19904-6506 | 2017-05-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548795859 | Connections Community Support Programs, Inc. | Clinic/Center | 350 N. High Street Extension, Smyrna, DE 19977 | 2017-04-24 |
1861820318 | A Better Chance for Our Children, Inc. | Clinic/Center | 1307 Philadelphia Pike, Wilmington, DE 19809 | 2013-10-19 |
1780733170 | Aquila of Delaware, Inc | Clinic/Center | 1812 Newport Gap Pike, Wilmington, DE 19808-6179 | 2007-01-09 |
1164501318 | State of Delaware Dscyf | Clinic/Center | 493 E Main St, Middletown, DE 19709-1463 | 2006-11-06 |
1144309394 | State of Delaware Dscyf | Clinic/Center | 1825 Faulkland Rd, Wilmington, DE 19805-1121 | 2006-11-06 |
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 |
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 |
1225564966 | Carol E Bouzoukis Phd | Clinic/Center | 4001 Kennett Pike, Suite 244, Greenville, DE 19807-2315 | 2017-05-01 |
1295269447 | Union Association of The Children's Home | Clinic/Center | 5602 Kirkwood Highway, Wilmington, DE 19808 | 2017-04-14 |
1578011185 | Devereux Foundation | Clinic/Center | 630 Churchmans Rd, Newark, DE 19702-1900 | 2016-09-13 |
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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.