Provider Demographics
NPI:1932245230
Name:MIDDLETOWN COUNSELING INCORPORATED
Entity Type:Organization
Organization Name:MIDDLETOWN COUNSELING INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER-CEO
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:KNAUER-KING
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:302-376-0621
Mailing Address - Street 1:401 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-1037
Mailing Address - Country:US
Mailing Address - Phone:302-370-0621
Mailing Address - Fax:302-376-6219
Practice Address - Street 1:401 N BROAD ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1037
Practice Address - Country:US
Practice Address - Phone:302-370-0621
Practice Address - Fax:302-376-6219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty