Healthcare Provider Details

I. General information

NPI: 1619708112
Provider Name (Legal Business Name): GOOD KARMA THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2024
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

262 CHAPMAN RD STE 214
NEWARK DE
19702-5448
US

IV. Provider business mailing address

262 CHAPMAN RD STE 214
NEWARK DE
19702-5448
US

V. Phone/Fax

Practice location:
  • Phone: 267-495-6758
  • Fax:
Mailing address:
  • Phone: 267-495-6758
  • 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: ELIZABETH A MITTAL
Title or Position: CEO
Credential:
Phone: 267-495-6758