SHAPING MINDS THERAPEUTIC SERVICES, LLC (NPI# 1588288005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588288005 |
| Entity Type | Organization |
| Organization Name | SHAPING MINDS THERAPEUTIC SERVICES, LLC |
| Practice Address |
276 E Main St Ste 203 Newark DE 19711-7356 |
| Practice Telephone | 3027311022 |
| Mailing Telephone | 3027311022 |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |
| Authorized Official Name | JOANNE FIGLIOLA (GROUP BILLER) |
| Authorized Official Telephone | 3027439858 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Shaping Minds Therapeutic Services, LLC | Doing Business As Name - Organization |
| Street Address |
276 E MAIN ST STE 203 |
| City | NEWARK |
| State | DE |
| Zip Code | 19711-7356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992328587 | Steven Forrester Coleman Sr. | Counselor | 276 E Main St Ste 203, Newark, DE 19711-7356 | 2020-05-18 |
| 1760005615 | Erik Lowery | Counselor | 276 E Main St Ste 203, Newark, DE 19711-7356 | 2020-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942826516 | Shondell White | Social Worker | 1423 Capitol Trail Road, Suite 1302, Newark, DE 19711 | 2020-06-19 |
| 1861024838 | Judith Benedict Pantalino | Counselor | 950 Library Avenue, Suite 104, Newark, DE 19711 | 2020-02-07 |
| 1942842935 | Lauren Barile | Social Worker | 2644 Kirkwood Highway #250, Newark, DE 19711 | 2019-10-11 |
| 1164993143 | Sandra Cooper, Rn, Lpcmh, LLC | Counselor | 2644 Kirkwood Hwy., Suite 320, Newark, DE 19711 | 2018-12-17 |
| 1568944999 | Body Brain Sync, Inc | Physical Medicine & Rehabilitation | 412 Capitol Trail, Newark, DE 19711 | 2018-09-01 |
| 1528550514 | Levin Andrew Tucker | Counselor | 1423 Capitol Trail Polly Drummond Plaza Bdg3, Newark, DE 19711 | 2018-06-05 |
| 1124515606 | Elizabeth Caccavone | Counselor | 1423 Capitol Trail Rd, Newark, DE 19711 | 2018-04-19 |
| 1366960924 | Bradley Hunter | Behavioral Analyst | 625 Barksdale Road Suite 113, Newark, DE 19711 | 2017-09-05 |
| 1720504905 | Tri-state Physicians Inc | Internal Medicine | 266 South College Ave, Newark, DE 19711 | 2017-08-18 |
| 1811427123 | Erin Cliffe | Social Worker | 3303 Drummond Plz, Newark, DE 19711 | 2017-06-19 |
| Find all providers in zip 19711 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568077899 | Ramiro Furtado Correia | Counselor | 482 Summer Ave Apt 403, Newark, NJ 07104-2934 | 2020-09-14 |
| 1588272561 | Leah Ann Pollock | Counselor | 5 Strauss Way, Newark, DE 19702-3014 | 2020-07-16 |
| 1134747272 | Kobie Blair Morgan | Counselor | Kobie Blair Morgan, Esq., Mba, Ma, Lpc, 76-78 First Street, Suite 3, Newark, NJ 07107 | 2020-07-06 |
| 1669013413 | Kimberly Fleischer | Counselor | 519 Post Oak Dr, Newark, TX 76071-3141 | 2019-10-03 |
| 1801441795 | Turning Corners-hand In Hand, LLC | Counselor | 256 Chapman Rd Ste 105-6, Newark, DE 19702-5499 | 2019-08-07 |
| 1285289223 | Jessica Dawn Seidel | Counselor | 106 Watering Hole, Newark, TX 76071-4333 | 2019-08-06 |
| 1235640673 | First State Behavioral Health Center | Counselor | 260 Chapman Rd Ste 200-1, Newark, DE 19702-5490 | 2017-10-12 |
| 1124555305 | Ronald Tello-marzol | Counselor | 2 Rolling Dr, Newark, DE 19713-2020 | 2017-05-18 |
| 1619320462 | Stella Diai | Counselor | 72 Holland St, Newark, NJ 07103-2029 | 2016-07-18 |
| 1215318415 | Chantel Bratcher | Counselor | 31 Phoenix Ave, Newark, DE 19702-2406 | 2015-06-12 |
| Find all providers in NEWARK | ||||
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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.