Provider Demographics
NPI:1770052045
Name:ARDEN WOODS COUNSELING LLC
Entity type:Organization
Organization Name:ARDEN WOODS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KERI
Authorized Official - Middle Name:
Authorized Official - Last Name:WILL-DEL TUFO
Authorized Official - Suffix:
Authorized Official - Credentials:LPCMH
Authorized Official - Phone:302-455-8684
Mailing Address - Street 1:1704 GREEN LN
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4004
Mailing Address - Country:US
Mailing Address - Phone:302-584-5284
Mailing Address - Fax:302-440-4446
Practice Address - Street 1:1704 GREEN LN
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4004
Practice Address - Country:US
Practice Address - Phone:302-584-5284
Practice Address - Fax:302-440-4446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-16
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty