Healthcare Provider Details

I. General information

NPI: 1215241856
Provider Name (Legal Business Name): TONI M BALLAS ROWE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2010
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16529 COASTAL HWY UNIT 120
LEWES DE
19958-3697
US

IV. Provider business mailing address

PO BOX 681
LEWES DE
19958-0681
US

V. Phone/Fax

Practice location:
  • Phone: 302-645-0633
  • Fax: 302-226-8681
Mailing address:
  • Phone: 302-645-0633
  • Fax: 302-226-8681

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberQ1 0000204
License Number StateDE
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: TONI BALLAS-ROWE
Title or Position: PRESIDENT
Credential: LCSW
Phone: 302-645-0633