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General NPI Number Information
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NPI Number | 1932696283
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Entity Type | Organization
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Legal Business Name | INTERLINK COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 04/21/2018
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Last Update Date | 06/19/2018
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Provider Practice Location Address
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Address Line | 102 LARCH AVE STE 101F
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City | NEWPORT
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State | DE
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Zip | 19804
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Country | US
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Telephone | 302-689-3138
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Fax |
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Provider Business Mailing Address
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Address Line | 302 PADDINGTON DR
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City | BEAR
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State | DE
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Zip | 19701-2583
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Country | US
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Telephone | 302-593-9365
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. MICHELLE DOLCAR
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Credential | LPCMH
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Telephone | 302-689-3138
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | 2018603166
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License Number State | DE
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