Provider Demographics
NPI:1184172371
Name:VOTA, GERALDINE M (LACMH)
Entity type:Individual
Prefix:
First Name:GERALDINE
Middle Name:M
Last Name:VOTA
Suffix:
Gender:F
Credentials:LACMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33712 WESCOATS RD UNIT 4
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-4926
Mailing Address - Country:US
Mailing Address - Phone:302-762-2283
Mailing Address - Fax:302-762-2286
Practice Address - Street 1:33712 WESCOATS RD UNIT 4
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-4926
Practice Address - Country:US
Practice Address - Phone:302-762-2283
Practice Address - Fax:302-762-2286
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-15
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEAC-0000121101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health