Healthcare Provider Details

I. General information

NPI: 1710657937
Provider Name (Legal Business Name): CIOTOG COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2021
Last Update Date: 09/18/2021
Certification Date: 09/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 YORKLYN RD STE 260
HOCKESSIN DE
19707-8738
US

IV. Provider business mailing address

724 YORKLYN RD STE 260
HOCKESSIN DE
19707-8738
US

V. Phone/Fax

Practice location:
  • Phone: 302-235-3398
  • Fax: 302-397-2958
Mailing address:
  • Phone: 302-235-3398
  • Fax: 302-397-2958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: EILEEN STARR
Title or Position: CEO
Credential: LCSW
Phone: 302-353-7465