NPI 1790192607 · live from the CMS NPI Registry
Healing Goddess Interprises LLC
Marriage & Family Therapist in Wilmington, DE. National Provider Identifier 1790192607, active.
NPI record
| NPI | 1790192607 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 15 Cragmere Rd, Wilmington, DE 19809 |
| Practice phone | 301-751-0695 |
| Enumerated | July 14, 2014 |
| Last updated | July 14, 2014 |
| Authorized official | Vicky Primer, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | FT-0000008 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.