Healthcare Provider Details

I. General information

NPI: 1659164325
Provider Name (Legal Business Name): BHEALTHY INTEGRATIVE WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 SHAW AVE
HARRINGTON DE
19952-1220
US

IV. Provider business mailing address

201 SHAW AVE
HARRINGTON DE
19952-1220
US

V. Phone/Fax

Practice location:
  • Phone: 302-671-0176
  • Fax: 888-543-4267
Mailing address:
  • Phone: 302-671-0176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. COLLEEN R HANEY
Title or Position: NURSE PRACTITIONER/OWNER
Credential: APRN, AGNP, PMHNP-BC
Phone: 302-671-0176