Healthcare Provider Details

I. General information

NPI: 1790614709
Provider Name (Legal Business Name): PURE DELIGHT GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 GEORGIA AVE NW
WASHINGTON DC
20012-1616
US

IV. Provider business mailing address

7600 GEORGIA AVE NW
WASHINGTON DC
20012-1616
US

V. Phone/Fax

Practice location:
  • Phone: 757-240-7331
  • Fax:
Mailing address:
  • Phone: 757-240-7331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SANDRINE WANKI
Title or Position: PROPRIETOR
Credential:
Phone: 757-240-7331