Provider Demographics
NPI:1497410765
Name:HEALTHY ME WELLNESS SERVICES LLC
Entity Type:Organization
Organization Name:HEALTHY ME WELLNESS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABAA
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:614-843-2896
Mailing Address - Street 1:6555 BUSCH BLVD STE 230
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-1790
Mailing Address - Country:US
Mailing Address - Phone:614-843-2896
Mailing Address - Fax:
Practice Address - Street 1:6555 BUSCH BLVD STE 230
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-1790
Practice Address - Country:US
Practice Address - Phone:614-843-2896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty