Provider Demographics
NPI:1720311301
Name:DELANEY, ANITA L (LPCMH)
Entity type:Individual
Prefix:MRS
First Name:ANITA
Middle Name:L
Last Name:DELANEY
Suffix:
Gender:F
Credentials:LPCMH
Other - Prefix:MISS
Other - First Name:ANITA
Other - Middle Name:L
Other - Last Name:KULWICKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17 OCHELTREE DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-4336
Mailing Address - Country:US
Mailing Address - Phone:302-994-9582
Mailing Address - Fax:
Practice Address - Street 1:5149 W WOODMILL DR
Practice Address - Street 2:SUITE 20
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-4067
Practice Address - Country:US
Practice Address - Phone:302-636-0700
Practice Address - Fax:302-636-0701
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000464101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health