Healthcare Provider Details

I. General information

NPI: 1659927754
Provider Name (Legal Business Name): CHRISTOPHER KADY LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2019
Last Update Date: 03/08/2024
Certification Date: 03/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 N CHURCH ST
WILMINGTON DE
19801-4812
US

IV. Provider business mailing address

3907 EVELYN DR
WILMINGTON DE
19808-4620
US

V. Phone/Fax

Practice location:
  • Phone: 302-278-0026
  • Fax: 302-278-0047
Mailing address:
  • Phone: 302-357-1041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License NumberLGP7977
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC-0011187
License Number StateDE
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC-0011187
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: