| Open Minds Therapy | |
|
11 Riptide Ct Frederica DE 19946-2112 | |
| (302) 751-2003 | |
| Not Available |
| Full Name | Open Minds Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 11 Riptide Ct, Frederica, Delaware |
| Authorized Official Name and Position | Kevin Daniels (OWNER) |
| Authorized Official Contact | 3027512003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Minds Therapy 11 Riptide Ct Frederica DE 19946-2112 Ph: (302) 751-2003 | Open Minds Therapy 11 Riptide Ct Frederica DE 19946-2112 Ph: (302) 751-2003 |
| NPI Number | 1821870916 |
|---|---|
| Provider Enumeration Date | 10/16/2023 |
| Last Update Date | 09/10/2024 |
| Certification Date | 09/10/2024 |
| Medicare PECOS PAC ID | 0941659437 |
|---|---|
| Medicare Enrollment ID | O20231208002626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821870916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kevin P Daniels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922726454 PECOS PAC ID: 1557717436 Enrollment ID: I20231030000307 |
Pamela Shockley, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Hudson Branch Dr, Frederica, DE 19946 Phone: 302-359-6777 |