| Jillian Wiggins, LPCMH | |
|
156 S State St, Dover, DE 19901-7314 | |
| (302) 674-2380 | |
| Not Available |
| Full Name | Jillian Wiggins |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 156 S State St, Dover, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235963349 | NPI | - | NPPES |
| PC-0011714 | Other | DE | STATE OF DELAWARE DIVISION OF PROFESSIONAL REGULATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PC-0011714 (Delaware) | Primary |
| Entity Name | The Mind And Body Consortium, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316186539 PECOS PAC ID: 9739234014 Enrollment ID: O20090910000340 |
| Mailing Address | Practice Location Address |
|---|---|
| Jillian Wiggins, LPCMH 1632 Andrews Lake Rd, Felton, DE 19943-5246 Ph: (609) 408-8002 | Jillian Wiggins, LPCMH 156 S State St, Dover, DE 19901-7314 Ph: (302) 674-2380 |
Mr. Alan Wayne Meluney, LPCMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 1151 Walker Rd, Dover, DE 19904 Phone: 302-674-2380 Fax: 302-674-1299 | |
Timothy Early, Counselor Medicare: Not Enrolled in Medicare Practice Location: 884 Walker Rd Ste B, Dover, DE 19904 Phone: 302-678-4911 Fax: 302-678-4948 | |
Mrs. Melissa Kaye Tooles, LPCMH, NCC, MCC, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2040 Sycamore Ct, Unit 4, Dover, DE 19901 Phone: 410-262-3058 | |
Cynthia Prange, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1609 S State St, Dover, DE 19901 Phone: 302-257-3135 | |
Lesmine London Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 429 S New St, Dover, DE 19904 Phone: 302-504-8500 | |
Michelle Ericksen, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 156 S State St, Dover, DE 19901 Phone: 302-674-2380 Fax: 302-674-1299 | |
Larence Kirby, LPCMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 S State St, Dover, DE 19901 Phone: 302-213-3121 |