| Sublime Mind LLC | |
|
1601 Concord Pike Ste 24 Wilmington DE 19803-3612 | |
| (302) 567-6879 | |
| (302) 567-6879 |
| Full Name | Sublime Mind LLC |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1601 Concord Pike Ste 24, Wilmington, Delaware |
| Authorized Official Name and Position | Tianna Wagner (OWNER) |
| Authorized Official Contact | 3025676879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sublime Mind LLC Po Box 3610 Wilmington DE 19807-3610 | Sublime Mind LLC 1601 Concord Pike Ste 24 Wilmington DE 19803-3612 Ph: (302) 567-6879 |
| NPI Number | 1326826413 |
|---|---|
| Provider Enumeration Date | 09/19/2023 |
| Last Update Date | 09/20/2025 |
| Certification Date | 09/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326826413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | () | Primary |
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