Healthcare Provider Details

I. General information

NPI: 1043889181
Provider Name (Legal Business Name): SILVER LININGS COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2021
Last Update Date: 01/05/2022
Certification Date: 01/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 SHALLCROSS AVE STE 1A-2
WILMINGTON DE
19806-3037
US

IV. Provider business mailing address

1500 SHALLCROSS AVE STE 1A-2
WILMINGTON DE
19806-3037
US

V. Phone/Fax

Practice location:
  • Phone: 302-455-8990
  • Fax:
Mailing address:
  • Phone: 302-455-8990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: GEETA KOTAK
Title or Position: OWNER CLINICIAN
Credential:
Phone: 302-455-8990