Provider Demographics
NPI:1134513831
Name:MARIA WITH AN ACCENT, LLC
Entity Type:Organization
Organization Name:MARIA WITH AN ACCENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA DEL CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ-MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPCMH, NCC
Authorized Official - Phone:302-998-2977
Mailing Address - Street 1:PO BOX 7715
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19714-7715
Mailing Address - Country:US
Mailing Address - Phone:302-998-2977
Mailing Address - Fax:
Practice Address - Street 1:2601 ANNAND DR STE 16
Practice Address - Street 2:HERITAGE PROFESSIONAL PLAZA
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-3719
Practice Address - Country:US
Practice Address - Phone:302-998-2977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-20
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC0000472101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000201789Medicaid