Healthcare Provider Details

I. General information

NPI: 1326963018
Provider Name (Legal Business Name): SENIORWELL COUNSELING AND THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 N BOARDWALK FL 1
REHOBOTH BEACH DE
19971-2162
US

IV. Provider business mailing address

18766 JOHN J WILLIAMS HWY STE 4-172
REHOBOTH BEACH DE
19971-4417
US

V. Phone/Fax

Practice location:
  • Phone: 732-204-8195
  • Fax: 732-328-9958
Mailing address:
  • Phone: 732-204-8195
  • Fax: 732-328-9958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CRYSTAL BECKWITH
Title or Position: OWNER / AUTHORIZED OFFICIAL
Credential: LPC
Phone: 732-204-8195