GODDESS HEALTH & WELLNESS LLC NPI 1043830425

NPI Information

NPI: 1043830425
Provider Name: GODDESS HEALTH & WELLNESS, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
5420 HOLLYWOOD BLVD APT 111
HOLLYWOOD, FL
ZIP 33021
Phone: (754) 300-7591
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GODDESS HEALTH & WELLNESS, LLC is a mental health counselor in Hollywood, FL. GODDESS HEALTH & WELLNESS, LLC NPI is 1043830425. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5420 HOLLYWOOD BLVD APT 111
HOLLYWOOD, FL
ZIP 33021-481
Phone: (754) 300-7591
Fax: (954) 206-0496

The provider's authorized official is Tomeka Conswello Davis .
The authorized official title is Owner/founder/member Manager and has the following contact phone number (954) 848-7104.

The enumeration date for this NPI number is 4/25/2020 and was last updated on 4/25/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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