First State Behavioral Health Center
Organization Active NPI Professional Counselor · Newark, DE
NPI 1235640673 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1235640673
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0000703 (DE)
- Legal business name
- FIRST STATE BEHAVIORAL HEALTH CENTER
- Practice address
- 260 Chapman Rd Ste 200-1
Newark, DE 19702-5490 - Phone
- (302) 261-8723
- Fax
- (302) 538-6898
- NPI assigned
- Oct 12, 2017
- Organization subpart
- No
Authorized official
- Name
- Avon Timothy Jones Jr., LPCMH
- Title
- Ceo
- Phone
- (302) 261-8723
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 0000703 | DE | Yes |
Addresses
Primary practice location
260 Chapman Rd Ste 200-1
Newark, DE 19702-5490
Mailing address
346 Chanticleer Cir
Camden, DE 19934-5403
Phone (302) 261-8723
Other practice location 1
9 E Loockerman St Ste 302
Dover, DE 19901-8305
Phone (302) 261-8723
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All providers in Newark, DE · Professional Counselor in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.