Provider Demographics
NPI:1326640905
Name:EAT RIGHT, HAPPY LIFE PLLC
Entity Type:Organization
Organization Name:EAT RIGHT, HAPPY LIFE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPIES
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:334-734-4134
Mailing Address - Street 1:826 TULLAHOMA DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-3214
Mailing Address - Country:US
Mailing Address - Phone:334-734-4134
Mailing Address - Fax:
Practice Address - Street 1:826 TULLAHOMA DR
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-3214
Practice Address - Country:US
Practice Address - Phone:334-734-4134
Practice Address - Fax:334-339-6342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-10
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1033751813OtherNPPES