Healthcare Provider Details

I. General information

NPI: 1326978941
Provider Name (Legal Business Name): HEALING THE INNER YOU,L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2703 N HARRISON ST
WILMINGTON DE
19802-2924
US

IV. Provider business mailing address

2703 N HARRISON ST
WILMINGTON DE
19802-2924
US

V. Phone/Fax

Practice location:
  • Phone: 302-252-5063
  • Fax:
Mailing address:
  • Phone: 302-252-5063
  • 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: KIMBERLY JACKSON
Title or Position: CEO
Credential: LPCMH
Phone: 302-252-5063