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Contact Information

NATIONAL STRESS CLINIC, LLC
1201 N ORANGE ST
SUITE 600
WILMINGTON, DE19801-1155
 Phone: 646-571-8627
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for NATIONAL STRESS CLINIC, LLC

NPI Number 1093011413
LBN Legal business name NATIONAL STRESS CLINIC, LLC
Authorized official TIM JACKSON - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2011
Last updated 02/02/2011 - About 15 years ago
Identifiers
CA License # MFT (MFC) 37695
HI License # 1214
IL License # 071-005431
MD License # 03127
WI License # 2592-057
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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