# HEALING GODDESS INTERPRISES LLC

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

## Provider details

- **NPI number:** 1790192607
- **Authorized official:** VICKY PRIMER PHD (OWNER)
- **Authorized official phone:** (301) 751-0695

## Contact information

- **Practice address:** 15 CRAGMERE RD, WILMINGTON, DE 19809-2308
- **Practice address phone:** (301) 751-0695
- **Mailing address:** 15 CRAGMERE RD, WILMINGTON, DE 19809-2308
- **Mailing address phone:** (301) 751-0695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | FT-0000008 | DE | Yes |

## Other

- **Enumeration date:** 07/14/2014
- **Last updated:** 07/14/2014
