Healthcare Provider Details

I. General information

NPI: 1922860451
Provider Name (Legal Business Name): TECHFORCE COUNSELING & COMMUNITY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2024
Last Update Date: 03/06/2024
Certification Date: 03/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2417 LANCASTER AVE
WILMINGTON DE
19805-3736
US

IV. Provider business mailing address

2417 LANCASTER AVE STE 111
WILMINGTON DE
19805-3736
US

V. Phone/Fax

Practice location:
  • Phone: 302-446-4310
  • Fax:
Mailing address:
  • Phone: 302-446-4310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: THERESA RUSSELL
Title or Position: DIRECTOR
Credential:
Phone: 302-446-4310