Healthcare Provider Details

I. General information

NPI: 1902731771
Provider Name (Legal Business Name): DILKS AND WHITE COUNSELING, ASSESSMENT, AND CONSULTING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5051 BLACK HORSE PIKE UNIT 4 #1315
TURNERSVILLE NJ
08012
US

IV. Provider business mailing address

5051 BLACK HORSE PIKE STE 4
TURNERSVILLE NJ
08012-1788
US

V. Phone/Fax

Practice location:
  • Phone: 856-281-1639
  • Fax:
Mailing address:
  • Phone: 856-209-3637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. KELLY WHITE
Title or Position: OWNER
Credential: PHD, LPC, LCPC, ACS
Phone: 856-209-3637