Wellformed AI

NPI 1548664295 · live from the CMS NPI Registry

Center For Conscious Healing

Psychologist, Clinical in Middletown, DE. National Provider Identifier 1548664295, active.

NPI record

NPI1548664295 Type 2 · organization
StatusActive
Primary specialtyPsychologist, Clinical 103TC0700X
Practice location292 Carter Dr, Suite B, Middletown, DE 19709
Practice phone302-376-6144
Mailing address819 Kingswood Path, Middletown, DE 19709
EnumeratedOctober 9, 2014
Last updatedOctober 9, 2014
Authorized officialColleen Mcginnis, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Psychologist, Clinical Child & Adolescent103TC2200X—
Psychologist, Group Psychotherapy103TP2701X—
Social Worker, Clinical1041C0700X—
Marriage & Family Therapist106H00000X—
Psychologist, Clinical primary103TC0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.