Healthcare Provider Details

I. General information

NPI: 1689567117
Provider Name (Legal Business Name): SOARING MIND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2025
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26426 E OLD GATE DR
MILLSBORO DE
19966-3779
US

IV. Provider business mailing address

26426 E OLD GATE DR
MILLSBORO DE
19966-3779
US

V. Phone/Fax

Practice location:
  • Phone: 302-364-0405
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY OSBORNE
Title or Position: CEO/FOUNDER
Credential:
Phone: 302-364-0405