Provider Demographics
NPI:1821144106
Name:MILLENNIUM COUNSELING LLC
Entity Type:Organization
Organization Name:MILLENNIUM COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROLFES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-995-9188
Mailing Address - Street 1:1601 MILLTOWN RD
Mailing Address - Street 2:SUITE 14
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-4027
Mailing Address - Country:US
Mailing Address - Phone:302-995-9188
Mailing Address - Fax:302-995-9189
Practice Address - Street 1:1601 MILLTOWN RD
Practice Address - Street 2:SUITE 14
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-4027
Practice Address - Country:US
Practice Address - Phone:302-995-9188
Practice Address - Fax:302-995-9189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEB1-0000439103TC0700X
DEB1-0000219103TC0700X
DEQ1-00003181041C0700X
DEQ1-00005261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty