2ND Chance Promise Program
Organization Active NPI Counselor · New Castle, DE
NPI 1992585111 · NPPES record last updated Oct 4, 2023
Key facts
- NPI
- 1992585111
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Counselor 101Y00000X
- Legal business name
- 2ND CHANCE PROMISE PROGRAM
- Practice address
- 19 Lambson LN Ste B102
New Castle, DE 19720-2118 - Phone
- (302) 337-5513
- NPI assigned
- Oct 4, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Andre V Haley, PH.D.
- Title
- Owner/Provider
- Phone
- (302) 563-8399
Practitioners 1
-
Andre Haley, PH.D., LCDP, LMSW
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | Yes |
Addresses
Primary practice location
19 Lambson LN Ste B102
New Castle, DE 19720-2118
Mailing address
3113 N Van Buren St
Wilmington, DE 19802-2939
Phone (302) 563-8399
Other providers in New Castle, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2023. 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.