| The Delaware Center For Mindfulness, Llc | |
|
2607 N Harrison St Wilmington DE 19802-2922 | |
| (302) 307-1779 | |
| Not Available |
| Full Name | The Delaware Center For Mindfulness, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2607 N Harrison St, Wilmington, Delaware |
| Authorized Official Name and Position | Lisa Tanner (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3028030119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Delaware Center For Mindfulness, Llc 425 Fingerboard Schoolhous Rd Earleville MD 21919-1420 Ph: (302) 307-1779 | The Delaware Center For Mindfulness, Llc 2607 N Harrison St Wilmington DE 19802-2922 Ph: (302) 307-1779 |
| NPI Number | 1700547650 |
|---|---|
| Provider Enumeration Date | 01/04/2022 |
| Last Update Date | 01/06/2022 |
| Certification Date | 01/06/2022 |
| Medicare PECOS PAC ID | 4183017510 |
|---|---|
| Medicare Enrollment ID | O20220208001938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700547650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | William B Mccracken |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003586710 PECOS PAC ID: 5092108423 Enrollment ID: I20220208002020 |
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