Provider Demographics
NPI:1689209777
Name:DEBUSSY AND ASSOCIATES BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:DEBUSSY AND ASSOCIATES BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:R
Authorized Official - Last Name:DEBUSSY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:302-327-4143
Mailing Address - Street 1:232 GOLDFINCH TURN
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-4112
Mailing Address - Country:US
Mailing Address - Phone:302-379-0899
Mailing Address - Fax:
Practice Address - Street 1:256 CHAPMAN RD STE 105-1
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-5499
Practice Address - Country:US
Practice Address - Phone:302-327-4143
Practice Address - Fax:302-327-4197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-09
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty