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General NPI Number Information
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NPI Number | 1962859496
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Entity Type | Organization
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Legal Business Name | YOUR CENTER, LLC
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Dates
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Enumeration Date | 05/13/2016
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 222 PHILADELPHIA PIKE STE 4
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City | WILMINGTON
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State | DE
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Zip | 19809-3166
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Country | US
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Telephone | 302-298-3818
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Fax | 888-801-2676
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Provider Business Mailing Address
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Address Line | 1 WHITE OAK RD
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City | WILMINGTON
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State | DE
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Zip | 19809-3264
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Country | US
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Telephone | 302-298-3818
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Fax | 302-761-9273
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Authorized Official
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Title or Position | CO-OWNER
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Name | LAKEETRA MCCLAINE JOSEY
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Credential | PHD, APRN
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Telephone | 215-806-5111
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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 | 2015607417
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License Number State | DE
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