Provider Demographics
NPI:1134650104
Name:HENSGENS HEALTH LLC
Entity Type:Organization
Organization Name:HENSGENS HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:M
Authorized Official - Last Name:HENSGENS
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, LDN
Authorized Official - Phone:337-526-9525
Mailing Address - Street 1:127 MYRTLE DR
Mailing Address - Street 2:A
Mailing Address - City:CROWLEY
Mailing Address - State:LA
Mailing Address - Zip Code:70526-0973
Mailing Address - Country:US
Mailing Address - Phone:337-526-9525
Mailing Address - Fax:
Practice Address - Street 1:127 MYRTLE DR
Practice Address - Street 2:A
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-0973
Practice Address - Country:US
Practice Address - Phone:337-526-9525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-22
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2000133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty