Healthcare Provider Details

I. General information

NPI: 1306867668
Provider Name (Legal Business Name): STRATEGIC MANAGEMENT INITIATIVES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 03/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 W 7TH ST
WILMINGTON DE
19801-2236
US

IV. Provider business mailing address

109 W 7TH ST
WILMINGTON DE
19801-2236
US

V. Phone/Fax

Practice location:
  • Phone: 302-652-1405
  • Fax: 302-652-1403
Mailing address:
  • Phone: 302-652-1405
  • Fax: 302-652-1403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberQ1-0000344
License Number StateDE

VIII. Authorized Official

Name: DR. MICHAEL ANTHONY BARBIERI
Title or Position: EXECUTIVE DIRECTOR
Credential: PHD, LCSW, CADC
Phone: 302-652-1405