Organization
MINDCRAFT CONCIERGE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUDREY EVE LONGSON DO (OWNER)
(302) 603-1005
Entity
Organization
Contact information
Practice address
1207 DELAWARE AVE # 918, WILMINGTON, DE 19806-4743
(302) 603-1005
(302) 546-5700
Mailing address
1207 DELAWARE AVE # 918, WILMINGTON, DE 19806-4743
(302) 603-1005
(302) 546-5700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
163W00000X
Registered Nurse
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/05/2025
Last updated
04/01/2025
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