Healthcare Provider Details
I. General information
NPI: 1285401521
Provider Name (Legal Business Name): CADENCE COUNSELING AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/06/2023
Last Update Date: 12/06/2023
Certification Date: 12/06/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
501 SILVERSIDE RD STE 67
WILMINGTON DE
19809-1394
US
IV. Provider business mailing address
3176 FOULK RD
GARNET VALLEY PA
19060-2002
US
V. Phone/Fax
- Phone: 302-689-3836
- Fax:
- Phone: 484-614-7268
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
MARY
BETH
DAVIS
Title or Position: OWNER/COUNSELOR
Credential: LPCMH
Phone: 484-614-7268