Provider Demographics
NPI:1134428295
Name:FAMILY COUNSELING CENTER OF ST. PAUL'S, INC.
Entity type:Organization
Organization Name:FAMILY COUNSELING CENTER OF ST. PAUL'S, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:REDFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-576-4136
Mailing Address - Street 1:PO BOX 3803
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19807-0803
Mailing Address - Country:US
Mailing Address - Phone:302-576-4136
Mailing Address - Fax:302-502-0456
Practice Address - Street 1:301 N VAN BUREN ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-3615
Practice Address - Country:US
Practice Address - Phone:302-576-4136
Practice Address - Fax:302-502-0456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-15
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE043427101Y00000X, 101YM0800X, 103TF0000X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamilyGroup - Multi-Specialty