Healthcare Provider Details

I. General information

NPI: 1942119284
Provider Name (Legal Business Name): ENLIGHTENED ELEMENTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 CLINTON ST
DELAWARE CITY DE
19706-7700
US

IV. Provider business mailing address

38 CLINTON ST
DELAWARE CITY DE
19706-7700
US

V. Phone/Fax

Practice location:
  • Phone: 302-772-2012
  • Fax:
Mailing address:
  • Phone: 302-772-2012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: WINVENIA GRAHAM
Title or Position: OWNER
Credential:
Phone: 302-772-2012