Healthcare Provider Details

I. General information

NPI: 1154386696
Provider Name (Legal Business Name): SURVIVORS OF ABUSE IN RECOVERY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 FOULK RD
WILMINGTON DE
19803-3809
US

IV. Provider business mailing address

405 FOULK RD
WILMINGTON DE
19803-3809
US

V. Phone/Fax

Practice location:
  • Phone: 302-655-3953
  • Fax: 302-655-1149
Mailing address:
  • Phone: 302-655-3953
  • Fax: 302-655-1149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number
License Number State

VIII. Authorized Official

Name: ALYSSA K DUNN
Title or Position: INSURANCE DIRECTOR
Credential:
Phone: 302-383-5643