Provider Demographics
NPI:1932696283
Name:INTERLINK COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:INTERLINK COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLCAR
Authorized Official - Suffix:
Authorized Official - Credentials:LPCMH
Authorized Official - Phone:302-689-3138
Mailing Address - Street 1:302 PADDINGTON DR
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-2583
Mailing Address - Country:US
Mailing Address - Phone:302-593-9365
Mailing Address - Fax:
Practice Address - Street 1:102 LARCH AVE STE 101F
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:DE
Practice Address - Zip Code:19804
Practice Address - Country:US
Practice Address - Phone:302-689-3138
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-21
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE2018603166261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)