Healthcare Provider Details

I. General information

NPI: 1750737805
Provider Name (Legal Business Name): KWB COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2016
Last Update Date: 03/22/2024
Certification Date: 03/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 BRANDYWINE BLVD
TALLEYVILLE DE
19803-1838
US

IV. Provider business mailing address

805 W 19TH ST
WILMINGTON DE
19802-3810
US

V. Phone/Fax

Practice location:
  • Phone: 302-597-9911
  • Fax:
Mailing address:
  • Phone: 302-437-6438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: KATHARINE W. BERNSTEIN
Title or Position: OWNER/THERAPIST
Credential: LPCMH
Phone: 302-597-9911