| True North Counseling Services Llc | |
|
3522 Silverside Rd Ste 32 Wilmington DE 19810-4915 | |
| (484) 354-4499 | |
| Not Available |
| Full Name | True North Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 3522 Silverside Rd Ste 32, Wilmington, Delaware |
| Authorized Official Name and Position | Blaze Mitchell Kotler (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 4846432610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| True North Counseling Services Llc 881 Baltimore Pike Chadds Ford PA 19317-9351 Ph: (484) 354-4499 | True North Counseling Services Llc 3522 Silverside Rd Ste 32 Wilmington DE 19810-4915 Ph: (484) 354-4499 |
| NPI Number | 1194316778 |
|---|---|
| Provider Enumeration Date | 01/27/2021 |
| Last Update Date | 01/27/2021 |
| Certification Date | 01/27/2021 |
| Medicare PECOS PAC ID | 1153848098 |
|---|---|
| Medicare Enrollment ID | O20250505002852 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194316778 | NPI | - | NPPES |
| 14202873 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Bonnie Kotler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891203048 PECOS PAC ID: 9537429386 Enrollment ID: I20250505002932 |
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