Healthcare Provider Details

I. General information

NPI: 1942138946
Provider Name (Legal Business Name): AB THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N BROAD ST STE 5-3705
MIDDLETOWN DE
19709-1032
US

IV. Provider business mailing address

600 N BROAD ST STE 5-3705
MIDDLETOWN DE
19709-1032
US

V. Phone/Fax

Practice location:
  • Phone: 202-505-1034
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: AMELIA BIGESBY
Title or Position: PROFESSIONAL COUNSELOR
Credential:
Phone: 202-505-1034