Healthcare Provider Details

I. General information

NPI: 1396676706
Provider Name (Legal Business Name): LILLIAN RICARDO
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 NORTH FRANKLIN STREET STE 100
WILMINGTON DE
19806
US

IV. Provider business mailing address

1400 NORTH FRANKLIN STREET STE 100
WILMINGTON DE
19806
US

V. Phone/Fax

Practice location:
  • Phone: 484-606-0656
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: