| Peris Kipyab, | |
| 
					1600 Rockland Rd, Wilmington, DE 19803-3607  | |
| (302) 651-4000 | |
| Not Available | 
| Full Name | Peris Kipyab | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Professional | 
| Location | 1600 Rockland Rd, Wilmington, Delaware | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1265936074 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary | 
| 101YP2500X | Counselor - Professional | PC-0000868 (Delaware) | Primary | 
| Entity Name | Harford Crisis Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508334459 PECOS PAC ID: 6002726007 Enrollment ID: O20190424000345  | 
| Entity Name | Medstar Health Weight Management, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013785971 PECOS PAC ID: 0840634267 Enrollment ID: O20240214000031  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Peris Kipyab, Po Box 191, Rockland, DE 19732-0191 Ph: (302) 651-4000  | Peris Kipyab, 1600 Rockland Rd, Wilmington, DE 19803-3607 Ph: (302) 651-4000  | 
Ms. Mary P Soligo, LPC Counselor Medicare: Medicare Enrolled Practice Location: 5235 W Woodmill Dr, Suite 47, Wilmington, DE 19808 Phone: 302-995-1680 Fax: 302-995-1790  | |
Mrs. Melissa Gail Hickey, M.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 Philadelphia Pike, Trinity Healing Center, Suite C, Wilmington, DE 19809 Phone: 302-260-0605  | |
Lavonya Ann Moore, LPCMH Counselor Medicare: Medicare Enrolled Practice Location: 1601 Milltown Rd Ste 13, Wilmington, DE 19808 Phone: 302-683-4938 Fax: 302-417-0418  | |
Mrs. Jenna Helen Hitchens,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Foulk Rd, Wilmington, DE 19803 Phone: 302-655-3953  | |
Kathleen M Flood,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Silverside Rd Ste 67, Wilmington, DE 19809 Phone: 302-217-6399  | |
Mrs. Susan Ruth Chandler, LPCMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 1311 N Rodney St, Wilmington, DE 19806 Phone: 302-652-6545 Fax: 302-652-1811  | |
Andrew P Capone Sr., LPCMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 240 N James St, Suite 104-106, Wilmington, DE 19804 Phone: 302-633-0301 Fax: 302-633-0331  |