| Coras Wellness And Behavioral Health, Llc | |
|
590 Naamans Rd Claymont DE 19703-2308 | |
| (833) 886-2277 | |
| Not Available |
| Full Name | Coras Wellness And Behavioral Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 590 Naamans Rd, Claymont, Delaware |
| Authorized Official Name and Position | Lynn Kovich (CEO) |
| Authorized Official Contact | 6108448295 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coras Wellness And Behavioral Health, Llc 590 Naamans Rd Claymont DE 19703-2308 Ph: (833) 886-2277 | Coras Wellness And Behavioral Health, Llc 590 Naamans Rd Claymont DE 19703-2308 Ph: (833) 886-2277 |
| NPI Number | 1023686284 |
|---|---|
| Provider Enumeration Date | 06/15/2021 |
| Last Update Date | 06/06/2023 |
| Certification Date | 06/06/2023 |
| Medicare PECOS PAC ID | 1456741248 |
|---|---|
| Medicare Enrollment ID | O20211210000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023686284 | NPI | - | NPPES |
| Provider Name | John V Fenice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033138169 PECOS PAC ID: 9537173786 Enrollment ID: I20060130000666 |
| Provider Name | Scott D Houser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093844771 PECOS PAC ID: 0840211835 Enrollment ID: I20070709000095 |
| Provider Name | Nancy Ann M Cleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922232685 PECOS PAC ID: 9133386527 Enrollment ID: I20120214000380 |
| Provider Name | Stephanie Mcdonnaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821209677 PECOS PAC ID: 2264682285 Enrollment ID: I20121026000480 |
| Provider Name | Carol A Johnson Krumm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356585806 PECOS PAC ID: 4385949890 Enrollment ID: I20160222001269 |
| Provider Name | Hallie Katrina Dennison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568852358 PECOS PAC ID: 5890015317 Enrollment ID: I20160426001371 |
| Provider Name | Fanta Schwarz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700329331 PECOS PAC ID: 7517239684 Enrollment ID: I20170824000930 |
| Provider Name | Jay Cantor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821170630 PECOS PAC ID: 2860637584 Enrollment ID: I20171130002659 |
| Provider Name | Susana Larvie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265638985 PECOS PAC ID: 8820347784 Enrollment ID: I20181024001272 |
| Provider Name | Patience D Agbeviadey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942775051 PECOS PAC ID: 8921352550 Enrollment ID: I20181116001065 |
| Provider Name | Peter D Musu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619488764 PECOS PAC ID: 9830435239 Enrollment ID: I20190107000244 |
| Provider Name | Patricia Ayers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366865958 PECOS PAC ID: 4183033731 Enrollment ID: I20210511001829 |
| Provider Name | Okechukwu Obua |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1053521583 PECOS PAC ID: 7810040318 Enrollment ID: I20211223000261 |
| Provider Name | Dominic Charles Marano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811264963 PECOS PAC ID: 0749404689 Enrollment ID: I20220912001978 |
| Provider Name | Uche Obua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265982466 PECOS PAC ID: 6800052085 Enrollment ID: I20220914002043 |
| Provider Name | Misty Renee May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891266250 PECOS PAC ID: 2668828237 Enrollment ID: I20231102001955 |
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