Healthcare Provider Details

I. General information

NPI: 1215841655
Provider Name (Legal Business Name): AGNEW BEHAVIORAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 THE GRN # 17031
DOVER DE
19901-3618
US

IV. Provider business mailing address

8 THE GRN # 17031
DOVER DE
19901-3618
US

V. Phone/Fax

Practice location:
  • Phone: 302-754-5542
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: JANELLE AGNEW
Title or Position: APRN
Credential: APRN
Phone: 302-419-8000