Provider Demographics
NPI:1083358386
Name:COUNSELING ASSOCIATES OF DELAWARE
Entity Type:Organization
Organization Name:COUNSELING ASSOCIATES OF DELAWARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:E
Authorized Official - Last Name:CARELLO
Authorized Official - Suffix:
Authorized Official - Credentials:LPCMH
Authorized Official - Phone:302-750-0672
Mailing Address - Street 1:50 PASCHALL RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-4944
Mailing Address - Country:US
Mailing Address - Phone:302-750-0672
Mailing Address - Fax:
Practice Address - Street 1:100 W ROCKLAND RD STE K-1
Practice Address - Street 2:
Practice Address - City:MONTCHANIN
Practice Address - State:DE
Practice Address - Zip Code:19710-2006
Practice Address - Country:US
Practice Address - Phone:302-750-0672
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-22
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty