A CENTER FOR MENTAL WELLNESS COMMUNITY SUPPORT PROGRAMS, LLC


Address: 121 W Loockerman St, Dover, DE 19904-7325
Phone: 3026741397

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).

Provider Overview

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.

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
DE DSCYF 1639325822 01

Other Provider/Organization Names

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

Other Provider IDs and Locations

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

Office Location

Street Address 121 W LOOCKERMAN ST
City DOVER
State DE
Zip Code 19904-7325

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City DOVER
Zip Code 19904

Improve Information

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Dataset Information

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.

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