Healthcare Provider Details

I. General information

NPI: 1114837747
Provider Name (Legal Business Name): RACHEL MARIE TIMLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2713 LANCASTER AVE
WILMINGTON DE
19805-5220
US

IV. Provider business mailing address

2713 LANCASTER AVE
WILMINGTON DE
19805-5220
US

V. Phone/Fax

Practice location:
  • Phone: 302-656-2348
  • Fax: 302-888-9154
Mailing address:
  • Phone:
  • Fax: 302-888-9154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number2506
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: