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NPI Code Detail

MEDICARE: BRIANNA RANEE' WINGATE LACMH

MEDICARE: BRIANNA RANEE' WINGATE LACMH
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
1101YM0800XMental Health CounselorAC-0010467DE

General Provider Information

NPI Number : 1992510036
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANNA RANEE' WINGATE LACMH
Provider Business Mailing Address
First Line : 4550 LINDEN HILL RD STE 152
Second Line :
City : WILMINGTON
State : DE
Zip : 19808-2909
Country : US
Telephone Number : 302-683-1055
Fax Number :
Provider Business Practice Location Address
First Line : 4550 LINDEN HILL RD STE 152
Second Line :
City : WILMINGTON
State : DE
Zip : 19808-2909
Country : US
Telephone Number : 302-683-1055
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2025
Last Update Date : 09/25/2025

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