Healthcare Provider Details

I. General information

NPI: 1538670377
Provider Name (Legal Business Name): A NEW APPROACH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2017
Last Update Date: 06/11/2020
Certification Date: 06/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

182 FOX HOLLOW DR
MAGNOLIA DE
19962-2751
US

IV. Provider business mailing address

182 FOX HOLLOW DR
MAGNOLIA DE
19962-2751
US

V. Phone/Fax

Practice location:
  • Phone: 302-494-3397
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberQ1-0001348
License Number StateDE

VIII. Authorized Official

Name: DANIELLE WIGGINS
Title or Position: OWNER
Credential: LCSW
Phone: 302-494-3397