Provider Demographics
NPI:1932080215
Name:OPEN DOOR BEHAVIORAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:OPEN DOOR BEHAVIORAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:SHAWREE
Authorized Official - Middle Name:BERNADETTE
Authorized Official - Last Name:DEAN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:267-471-7187
Mailing Address - Street 1:501 SILVERSIDE RD STE 16
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19809-1375
Mailing Address - Country:US
Mailing Address - Phone:302-302-5301
Mailing Address - Fax:
Practice Address - Street 1:501 SILVERSIDE RD STE 16
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19809-1375
Practice Address - Country:US
Practice Address - Phone:302-302-5301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty