MEDICARE: ALLIED BEHAVIORAL HEALTH INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	Q1-0000253	DE

General Provider Information

NPI Number	:	1063462661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED BEHAVIORAL HEALTH INC

Provider Business Mailing Address
First Line	:	1400 PEOPLES PLZ
Second Line	:	SUITE 204
City	:	NEWARK
State	:	DE
Zip	:	19702-5707
Country	:	US
Telephone Number	:	302-832-1282
Fax Number	:	302-832-7313

Provider Business Practice Location Address
First Line	:	1400 PEOPLES PLZ
Second Line	:	SUITE 204
City	:	NEWARK
State	:	DE
Zip	:	19702-5707
Country	:	US
Telephone Number	:	302-832-1282
Fax Number	:	302-832-7313

Authorized Official
Title or Position	:	LICENSED CLINICAL SOCIAL WORKER
Name	:	LINNEA J GODDESS
Credential	:	L..C.S.W.
Telephone Number	:	302-743-3218

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	08/22/2020

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Directions to “ALLIED BEHAVIORAL HEALTH INC ” Practice Location

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