Healthcare Provider Details

I. General information

NPI: 1699658252
Provider Name (Legal Business Name): VASSALLO'S MENTAL HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 THE GREEN SUITE A
DOVER DE
19901
US

IV. Provider business mailing address

8 THE GREEN SUITE A
DOVER DE
19901
US

V. Phone/Fax

Practice location:
  • Phone: 302-406-7358
  • Fax:
Mailing address:
  • Phone: 302-406-7358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANGELA VASSALLO
Title or Position: OWNER/OPERATOR
Credential:
Phone: 302-723-1924