Actualized Holistic Wellness, Llc | |
504 N Dupont Hwy Dover DE 19901-3961 | |
(302) 566-7245 | |
(302) 336-9957 |
Full Name | Actualized Holistic Wellness, Llc |
---|---|
Speciality | Counselor - Professional |
Location | 504 N Dupont Hwy, Dover, Delaware |
Authorized Official Name and Position | Jennifer Patrice Edwards (OWNER) |
Authorized Official Contact | 3025667245 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Actualized Holistic Wellness, Llc 504 N Dupont Hwy Dover DE 19901-3961 Ph: (302) 566-7245 | Actualized Holistic Wellness, Llc 504 N Dupont Hwy Dover DE 19901-3961 Ph: (302) 566-7245 |
NPI Number | 1538626239 |
---|---|
Provider Enumeration Date | 02/28/2019 |
Last Update Date | 12/19/2023 |
Certification Date | 12/19/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538626239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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