Provider Demographics
NPI:1831457415
Name:DUBE, FAYE CATHERINE
Entity type:Individual
Prefix:
First Name:FAYE
Middle Name:CATHERINE
Last Name:DUBE
Suffix:
Gender:
Credentials:
Other - Prefix:MRS
Other - First Name:FAYE
Other - Middle Name:C
Other - Last Name:BACHMURA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:501 SILVERSIDE ROAD
Mailing Address - Street 2:SUITE 50
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19809
Mailing Address - Country:US
Mailing Address - Phone:302-791-9502
Mailing Address - Fax:
Practice Address - Street 1:501 SILVERSIDE ROAD
Practice Address - Street 2:SUITE 50
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19809
Practice Address - Country:US
Practice Address - Phone:302-791-9502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-02
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
DEPC-000062101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional