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Organization
GODDESS HEALTH & WELLNESS, LLC
Active
Organization
GODDESS HEALTH & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMEKA CONSWELLO DAVIS (OWNER/FOUNDER/MEMBER MANAGER)
(954) 848-7104
Entity
Organization
Contact information
Practice address
5420 HOLLYWOOD BLVD APT 111, HOLLYWOOD, FL 33021-6481
(754) 300-7591
(954) 206-0496
Mailing address
PO BOX 4223, FORT LAUDERDALE, FL 33338-4223
(754) 300-7591
(954) 206-0496
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/25/2020
Last updated
04/25/2020
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