Healthcare Provider Details

I. General information

NPI: 1689209777
Provider Name (Legal Business Name): DEBUSSY AND ASSOCIATES BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2020
Last Update Date: 07/18/2024
Certification Date: 07/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

256 CHAPMAN RD STE 105-1
NEWARK DE
19702-5499
US

IV. Provider business mailing address

232 GOLDFINCH TURN
NEWARK DE
19711-4112
US

V. Phone/Fax

Practice location:
  • Phone: 302-327-4143
  • Fax: 302-327-4197
Mailing address:
  • Phone: 302-379-0899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MR. MARK R DEBUSSY
Title or Position: OWNER
Credential: APRN
Phone: 302-327-4143