YOUR CENTER, LLC NPI 1962859496

Clinic/Center (Mental Health (Including Community Mental Health Center)) in Wilmington, DE

Organization Clinic/Center Mental Health (Including Community Menta...

About YOUR CENTER, LLC

Your Center, Llc is a provider in Wilmington, DE. The NPI number assigned to this provider is 1962859496. The practitioner's primary taxonomy code is Clinic/Center (261QM0801X). The provider is registered as an organization and their NPI record was last updated one year ago.

NPI

1962859496

Provider NameYOUR CENTER, LLC
Provider Location Address222 PHILADELPHIA PIKE STE 4 WILMINGTON, DE 19809
Provider Mailing Address1 WHITE OAK RD WILMINGTON, DE 19809
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-13-2016
Last Update Date03-17-2018

Primary Taxonomy

Taxonomy Code261QM0801X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMental Health (Including Community Mental Health Center)
License No.2015607417
License StateDE

Business Address

YOUR CENTER, LLC
222 PHILADELPHIA PIKE STE 4
WILMINGTON, DE
ZIP 19809
Phone: (302) 298-3818
Fax: (888) 801-2676

Get Directions

Mailing Address

YOUR CENTER, LLC
1 WHITE OAK RD
WILMINGTON, DE
ZIP 19809
Phone:
Fax: (302) 761-9273

Secondary Locations

222 Philadelphia Pike Suite 7
Wilmington, DE 19809
(302) 298-3818

Authorized Official

Authorized Official Name LAKEETRA MCCLAINE JOSEY PHD, APRN
Authorized Official TitleCO-OWNER
Authorized Official Phone(215) 806-5111

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194211326 NINEKA DYSON LPCMH, NCC
Individual
Counselor (Mental Health)222 PHILADELPHIA PIKE STE 4
WILMINGTON, DE 19809
(404) 272-5488

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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