Provider Demographics
NPI:1861878506
Name:PSYCHOTHERAPEUTIC MEDITATION CENTER, LLC.
Entity type:Organization
Organization Name:PSYCHOTHERAPEUTIC MEDITATION CENTER, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SACHIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:KARNIK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD , LCSW, NCGC
Authorized Official - Phone:302-650-3865
Mailing Address - Street 1:201 MICHELLE CT
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-6769
Mailing Address - Country:US
Mailing Address - Phone:302-731-1514
Mailing Address - Fax:302-424-9338
Practice Address - Street 1:2644 CAPITOL TRL
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-7268
Practice Address - Country:US
Practice Address - Phone:302-731-1514
Practice Address - Fax:302-424-9338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-05
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-0007851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty