Healthcare Provider Details

I. General information

NPI: 1811829419
Provider Name (Legal Business Name): CAITLIN HARRISON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 SILVERSIDE RD
WILMINGTON DE
19809-1374
US

IV. Provider business mailing address

501 SILVERSIDE RD
WILMINGTON DE
19809-1374
US

V. Phone/Fax

Practice location:
  • Phone: 646-941-7645
  • Fax:
Mailing address:
  • Phone: 646-941-7645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC-0011992
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: