Healthcare Provider Details

I. General information

NPI: 1326903972
Provider Name (Legal Business Name): ESSENTIAL VOYAGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 W CLARKE AVE
MILFORD DE
19963-1849
US

IV. Provider business mailing address

6477 RECKNORE DR
MILFORD DE
19963-2338
US

V. Phone/Fax

Practice location:
  • Phone: 302-258-9397
  • Fax:
Mailing address:
  • Phone: 302-258-9397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: RUTH VIVIAN
Title or Position: OWNER, PRACTITIONER
Credential: LCSW
Phone: 302-258-9397