| 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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