Provider Demographics
NPI:1003539107
Name:5 DIMENSIONS COUNSELING LLC
Entity Type:Organization
Organization Name:5 DIMENSIONS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KENYATTA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-503-7347
Mailing Address - Street 1:39 N WALNUT ST STE 104
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-1467
Mailing Address - Country:US
Mailing Address - Phone:302-503-7347
Mailing Address - Fax:302-725-5784
Practice Address - Street 1:39 N WALNUT ST STE 104
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1467
Practice Address - Country:US
Practice Address - Phone:302-503-7347
Practice Address - Fax:302-725-5784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty