Provider Demographics
NPI:1831068709
Name:EROSPIRITUALITY CENTRE, INC.
Entity type:Organization
Organization Name:EROSPIRITUALITY CENTRE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TALENA
Authorized Official - Middle Name:C
Authorized Official - Last Name:QUEEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:302-620-3269
Mailing Address - Street 1:357 PLAIN DEALING RD
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:DE
Mailing Address - Zip Code:19962-1129
Mailing Address - Country:US
Mailing Address - Phone:302-620-3269
Mailing Address - Fax:302-572-8231
Practice Address - Street 1:357 PLAIN DEALING RD
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:DE
Practice Address - Zip Code:19962-1129
Practice Address - Country:US
Practice Address - Phone:302-620-3269
Practice Address - Fax:302-572-8231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-30
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty