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General NPI Number Information
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NPI Number | 1023686284
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Entity Type | Organization
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Legal Business Name | CORAS WELLNESS AND BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 06/15/2021
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 315 OLD LANDING RD
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City | MILLSBORO
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State | DE
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Zip | 19966-1210
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Country | US
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Telephone | 833-886-2277
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Fax |
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Provider Business Mailing Address
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Address Line | 315 OLD LANDING RD
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City | MILLSBORO
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State | DE
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Zip | 19966-1210
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Country | US
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Telephone | 833-886-2277
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DOVID LAX
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Credential |
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Telephone | 410-409-3662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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