Provider Demographics
NPI:1376177378
Name:HEALTHY BEGINNINGS LLC
Entity Type:Organization
Organization Name:HEALTHY BEGINNINGS LLC
Other - Org Name:HEALTHY BEGINNINGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEA
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:480-343-0247
Mailing Address - Street 1:22835 GLACIER VIEW DR
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-9560
Mailing Address - Country:US
Mailing Address - Phone:480-343-0247
Mailing Address - Fax:
Practice Address - Street 1:22835 GLACIER VIEW DR
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-9560
Practice Address - Country:US
Practice Address - Phone:480-343-0247
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-27
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty