Healthcare Provider Details
I. General information
NPI: 1780092528
Provider Name (Legal Business Name): ANEW MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/24/2014
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
819 S GOVERNORS AVE
DOVER DE
19904-4158
US
IV. Provider business mailing address
870 W BIRDIE LN
MAGNOLIA DE
19962-3106
US
V. Phone/Fax
- Phone: 302-678-4558
- Fax:
- Phone: 302-670-8399
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TF0000X |
| Taxonomy | Family Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | DE |
VIII. Authorized Official
Name: MRS.
RENEE
G
TERENIK
Title or Position: OWNER
Credential:
Phone: 302-670-8399