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General NPI Number Information
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NPI Number | 1801774591
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Entity Type | Organization
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Legal Business Name | CONVERGE INTEGRATED HEALTHCARE NETWORK LLC
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/23/2025
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Provider Practice Location Address
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Address Line | 1 CATHERINE ST STE A
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City | NEW CASTLE
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State | DE
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Zip | 19720-3001
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Country | US
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Telephone | 302-302-8989
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Fax | 302-200-1234
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Provider Business Mailing Address
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Address Line | 719 CENTER ST
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City | NEW CASTLE
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State | DE
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Zip | 19720-4919
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Country | US
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Telephone | 302-302-8989
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Fax | 302-200-1234
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Authorized Official
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Title or Position | CEO
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Name | CONRADO M VALIDO JR.
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Credential |
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Telephone | 302-302-8989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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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 | 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 #5
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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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 #8
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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