Healing Goddess Interprises LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

FT-0000008 Issued in DE

Legal business name

HEALING GODDESS INTERPRISES LLC

Practice address

15 Cragmere Rd
Wilmington, DE 19809-2308

Phone

(301) 751-0695

NPI assigned

Jul 14, 2014

Last updated

Jul 14, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vicky Primer, PHD

Title

Owner

Phone

(301) 751-0695

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1790192607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CRAGMERE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198092308",
            "telephone_number": "301-751-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CRAGMERE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198092308",
            "telephone_number": "301-751-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING GODDESS INTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "PRIMER",
        "authorized_official_first_name": "VICKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-751-0695",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "DE",
            "license": "FT-0000008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Access Network

• Marriage & Family Therapist in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Marriage & Family Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.