Provider Demographics
NPI:1831805597
Name:PRIDE HEALTH CONSULTING LLC
Entity type:Organization
Organization Name:PRIDE HEALTH CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:COPEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:302-502-6084
Mailing Address - Street 1:104 MERRIMAC AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-4633
Mailing Address - Country:US
Mailing Address - Phone:302-502-6084
Mailing Address - Fax:
Practice Address - Street 1:104 MERRIMAC AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-4633
Practice Address - Country:US
Practice Address - Phone:302-502-6084
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-26
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Single Specialty