Provider Demographics
NPI:1780749309
Name:SILVERSIDE COUNSELING CENTER,LLC
Entity type:Organization
Organization Name:SILVERSIDE COUNSELING CENTER,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:W
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:302-479-5060
Mailing Address - Street 1:3526 SILVERSIDE RD.
Mailing Address - Street 2:SUITE 36
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4911
Mailing Address - Country:US
Mailing Address - Phone:302-479-5060
Mailing Address - Fax:302-479-5061
Practice Address - Street 1:3526 SILVERSIDE RD.
Practice Address - Street 2:SUITE 36
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4911
Practice Address - Country:US
Practice Address - Phone:302-479-5060
Practice Address - Fax:302-479-5061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty