GODDESS HEALTH & WELLNESS, LLC
NPI 1043830425
Counselor - Mental Health in Hollywood, FL

Active since April 25, 2020
5420 HOLLYWOOD BLVD APT 111, HOLLYWOOD, FL 33021(754) 300-7591(954) 206-0496 Get Directions Write a Review

NPPES record last updated: April 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Goddess Health & Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GODDESS HEALTH & WELLNESS, LLC (NPI 1043830425) is a healthcare organization registered as a mental health in Hollywood, Florida and active in the NPI registry since April 2020. The organization maintains a secondary practice location in Miami Gardens and lists Tomeka Conswello Davis, Owner/founder/member Manager, as its authorized official.

NPPES Registry Identity

NPI1043830425
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameGODDESS HEALTH & WELLNESS, LLC
Location Address5420 HOLLYWOOD BLVD APT 111Hollywood, FL 33021-6481
Mailing AddressPo Box 4223Fort Lauderdale, FL 33338-4223 · (754) 300-7591 · Fax (954) 206-0496
Fax(954) 206-0496
Organization SubpartNo
Authorized OfficialTomeka Conswello DavisOwner/founder/member Manager · (954) 848-7104
Enumeration DateApril 25, 2020
NPPES CertifiedApril 25, 2020
NPI 1043830425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5420 HOLLYWOOD BLVD APT 111, Hollywood, FL 33021

Secondary Practice Location 1

Location 115800 NW 42nd AveMiami Gardens, FL 33054-6155 · Phone (305) 626-3138

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Goddess Health & Wellness, LLC's NPI number?

The NPI number for Goddess Health & Wellness, LLC is 1043830425. It was assigned to this organization in the NPPES registry on April 25, 2020.

Where is Goddess Health & Wellness, LLC located?

Goddess Health & Wellness, LLC is located at 5420 Hollywood Blvd Apt 111, Hollywood, FL 33021. The listed phone number is (754) 300-7591.

What is Goddess Health & Wellness, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Goddess Health & Wellness, LLC was last updated on April 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.