Provider Demographics
NPI:1215241856
Name:TONI M BALLAS ROWE INC
Entity type:Organization
Organization Name:TONI M BALLAS ROWE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TONI
Authorized Official - Middle Name:
Authorized Official - Last Name:BALLAS-ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:302-645-0633
Mailing Address - Street 1:PO BOX 681
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-0681
Mailing Address - Country:US
Mailing Address - Phone:302-645-0633
Mailing Address - Fax:302-226-8681
Practice Address - Street 1:16529 COASTAL HWY UNIT 120
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-3697
Practice Address - Country:US
Practice Address - Phone:302-645-0633
Practice Address - Fax:302-226-8681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-05
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 103TF0000X, 1041C0700X
DEQ1 00002041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1124027537OtherINDIVIDUAL NPI
DE131473OtherMEDICARE