| Mariella Roberts Lpcmh, Llc | |
|
200 Washington Ave Talleyville DE 19803-2353 | |
| (302) 966-3058 | |
| Not Available |
| Full Name | Mariella Roberts Lpcmh, Llc |
|---|---|
| Speciality | Counselor |
| Location | 200 Washington Ave, Talleyville, Delaware |
| Authorized Official Name and Position | Mariella Roberts (OWNER) |
| Authorized Official Contact | 3029663058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mariella Roberts Lpcmh, Llc 200 Washington Ave Talleyville DE 19803-2353 Ph: (302) 966-3058 | Mariella Roberts Lpcmh, Llc 200 Washington Ave Talleyville DE 19803-2353 Ph: (302) 966-3058 |
| NPI Number | 1093520488 |
|---|---|
| Provider Enumeration Date | 02/11/2025 |
| Last Update Date | 02/11/2025 |
| Certification Date | 02/11/2025 |
| Medicare PECOS PAC ID | 2163945916 |
|---|---|
| Medicare Enrollment ID | O20250410000942 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093520488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mariella Roberts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770696320 PECOS PAC ID: 0749639581 Enrollment ID: I20231206000034 |
Life Fully Lived, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 Brandywine Blvd, Talleyville, DE 19803 Phone: 302-703-7779 | |
Kwb Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 Brandywine Blvd, Talleyville, DE 19803 Phone: 302-597-9911 |