Provider Demographics
NPI:1710657937
Name:CIOTOG COUNSELING, LLC
Entity Type:Organization
Organization Name:CIOTOG COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:STARR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:302-353-7465
Mailing Address - Street 1:724 YORKLYN RD STE 260
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-8738
Mailing Address - Country:US
Mailing Address - Phone:302-235-3398
Mailing Address - Fax:302-397-2958
Practice Address - Street 1:724 YORKLYN RD STE 260
Practice Address - Street 2:
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-8738
Practice Address - Country:US
Practice Address - Phone:302-235-3398
Practice Address - Fax:302-397-2958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-18
Last Update Date:2021-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty