Healthcare Provider Details

I. General information

NPI: 1124429055
Provider Name (Legal Business Name): DEAN A AMAN, LPCMH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2014
Last Update Date: 09/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 CHAPMAN RD STE 205C
NEWARK DE
19702-5449
US

IV. Provider business mailing address

260 CHAPMAN RD STE 205C
NEWARK DE
19702-5449
US

V. Phone/Fax

Practice location:
  • Phone: 302-533-7582
  • Fax: 302-533-7584
Mailing address:
  • Phone: 302-533-7582
  • Fax: 302-533-7584

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC-0000432
License Number StateDE

VIII. Authorized Official

Name: MR. DEAN ALLAN AMAN
Title or Position: OWNER
Credential: LPCMH
Phone: 302-533-7582