Healthcare Provider Details

I. General information

NPI: 1104498419
Provider Name (Legal Business Name): AVH GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2021
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 LAMBSON LN STE B102
NEW CASTLE DE
19720-2118
US

IV. Provider business mailing address

3113 N VAN BUREN ST
WILMINGTON DE
19802-2939
US

V. Phone/Fax

Practice location:
  • Phone: 302-563-8399
  • Fax:
Mailing address:
  • Phone: 302-563-8399
  • Fax: 302-777-5483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDRE HALEY
Title or Position: OWNER
Credential: PHD
Phone: 302-685-5482