| Goddess Health & Wellness, Llc | |
|
5420 Hollywood Blvd Apt 111 Hollywood FL 33021-6481 | |
| (754) 300-7591 | |
| (954) 206-0496 |
| Full Name | Goddess Health & Wellness, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5420 Hollywood Blvd Apt 111, Hollywood, Florida |
| Authorized Official Name and Position | Tomeka Conswello Davis (OWNER/FOUNDER/MEMBER MANAGER) |
| Authorized Official Contact | 9548487104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goddess Health & Wellness, Llc Po Box 4223 Fort Lauderdale FL 33338-4223 Ph: (754) 300-7591 | Goddess Health & Wellness, Llc 5420 Hollywood Blvd Apt 111 Hollywood FL 33021-6481 Ph: (754) 300-7591 |
| NPI Number | 1043830425 |
|---|---|
| Provider Enumeration Date | 04/25/2020 |
| Last Update Date | 04/25/2020 |
| Certification Date | 04/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043830425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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