# FIRM FOUNDATION HEALTH AND WELLNESS CENTER LLC

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

## Provider details

- **NPI number:** 1841093184
- **Authorized official:** PATIENCE AGBEVIADEY LCSW (PARTNER)
- **Authorized official phone:** (302) 760-5510

## Contact information

- **Practice address:** 766 S STATE ST, DOVER, DE 19901-4146
- **Practice address phone:** (302) 760-5510
- **Practice address fax:** (833) 764-3989
- **Mailing address:** 766 S STATE ST, DOVER, DE 19901-4146
- **Mailing address phone:** (302) 760-5510
- **Mailing address fax:** (833) 764-3989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/31/2025
- **Last updated:** 03/30/2026