# TINA GROSSMAN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Goodwellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154074714
- **Authorized official:** TINA GROSSMAN NP (OWNER)
- **Authorized official phone:** (302) 540-2424

## Contact information

- **Practice address:** 3510 SILVERSIDE RD STE 2, WILMINGTON, DE 19810-4937
- **Practice address phone:** (484) 416-4485
- **Mailing address:** 21 HILTON RD, WILMINGTON, DE 19810-4324
- **Mailing address phone:** (302) 540-2424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/02/2022
- **Last updated:** 02/16/2022