# VICTORIA HEALTH AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265159073
- **Authorized official:** OLAMIDE VINCENT CRNP (NURSE PRACTITIONER)
- **Authorized official phone:** (484) 340-9768

## Contact information

- **Practice address:** 2502 SILVERSIDE RD STE 6, WILMINGTON, DE 19810-3740
- **Practice address phone:** (484) 340-9768
- **Mailing address:** 990 FERNHILL RD UNIT 632, WEST CHESTER, PA 19380-4288
- **Mailing address phone:** (484) 340-9768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2022
- **Last updated:** 10/25/2022