Tfccs | |
2417 Lancaster Ave Wilmington DE 19805-3736 | |
(302) 446-4310 | |
Not Available |
Full Name | Tfccs |
---|---|
Speciality | Counselor |
Location | 2417 Lancaster Ave, Wilmington, Delaware |
Authorized Official Name and Position | Theresa Russell (DIRECTOR) |
Authorized Official Contact | 3024464310 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Tfccs 2417 Lancaster Ave Ste 111 Wilmington DE 19805-3736 Ph: (302) 446-4310 | Tfccs 2417 Lancaster Ave Wilmington DE 19805-3736 Ph: (302) 446-4310 |
NPI Number | 1922860451 |
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Provider Enumeration Date | 01/30/2024 |
Last Update Date | 03/06/2024 |
Certification Date | 03/06/2024 |
Medicare PECOS PAC ID | 5799122891 |
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Medicare Enrollment ID | O20240326000038 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922860451 | NPI | - | NPPES |
Provider Name | Uchenna Evelyn Egwuonwu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932477452 PECOS PAC ID: 4981945748 Enrollment ID: I20240326000055 |
Provider Name | Polly Marie Vaughn |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1750754008 PECOS PAC ID: 7517307846 Enrollment ID: I20240502003099 |
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