Organization · NPI-2

Alert Mind Mental Health Services LLC

Nurse Practitioner, Psych/Mental Health · Newark, DE

NPI number1700506532
StatusActive
Last updated in NPPESMar 5, 2024

Details

NPI
1700506532
Entity type
Organization (NPI-2)
Legal business name
Alert Mind Mental Health Services LLC
Organization subpart
No
Enumeration date
Aug 31, 2022
Certification date
Mar 5, 2024
Last updated
Mar 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health––Yes
1041C0700X Social Worker, Clinical––
261Q00000X Clinic/Center––

Practice location

1423 Capitol Trl Ste 1110
Newark, DE 19711-5709

Phone 302-722-4740 · Fax 302-722-4750

Mailing address

1423 Capitol Trl Ste 1110
Newark, DE 19711-5709

Phone 302-722-4740 · Fax 302-722-4750

Authorized official

Marc Exilus
Owner
3027224740

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner, Psych/Mental Health providers in Newark, DE