Provider Demographics
NPI:1003573791
Name:GLOW IN HEALTH, ALTERNATIVES PLLC
Entity Type:Organization
Organization Name:GLOW IN HEALTH, ALTERNATIVES PLLC
Other - Org Name:ZAADA HAILLEY CORP.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZAADA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAILLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:512-297-4696
Mailing Address - Street 1:407 COLORADO DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR CREEK
Mailing Address - State:TX
Mailing Address - Zip Code:78612-3556
Mailing Address - Country:US
Mailing Address - Phone:512-297-4696
Mailing Address - Fax:512-321-4300
Practice Address - Street 1:407 COLORADO DR
Practice Address - Street 2:
Practice Address - City:CEDAR CREEK
Practice Address - State:TX
Practice Address - Zip Code:78612-3556
Practice Address - Country:US
Practice Address - Phone:512-297-4696
Practice Address - Fax:512-321-4300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-17
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty
No246YC3302XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationCoding Specialist, Physician Office BasedGroup - Multi-Specialty
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate HealthGroup - Multi-Specialty