| Introspection Counseling Center Llc | |
|
8 The Grn Ste 12921 Dover DE 19901-3618 | |
| (302) 213-6158 | |
| (855) 530-2764 |
| Full Name | Introspection Counseling Center Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8 The Grn Ste 12921, Dover, Delaware |
| Authorized Official Name and Position | Dierdra Oretade-branch (OWNER) |
| Authorized Official Contact | 3022136158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Introspection Counseling Center Llc 8 The Grn Ste 12921 Dover DE 19901-3618 Ph: () - | Introspection Counseling Center Llc 8 The Grn Ste 12921 Dover DE 19901-3618 Ph: (302) 213-6158 |
| NPI Number | 1487325866 |
|---|---|
| Provider Enumeration Date | 09/24/2021 |
| Last Update Date | 08/26/2022 |
| Certification Date | 08/26/2022 |
| Medicare PECOS PAC ID | 9436549813 |
|---|---|
| Medicare Enrollment ID | O20211127000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487325866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Teoletta Suzette West |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033470463 PECOS PAC ID: 9335464320 Enrollment ID: I20150216000811 |
| Provider Name | Dierdra Oretade Branch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376980235 PECOS PAC ID: 1254721632 Enrollment ID: I20211127000014 |
| Provider Name | Jakayla Monique Morrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609521566 PECOS PAC ID: 3678942828 Enrollment ID: I20221209000275 |
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