Provider Demographics
NPI:1497481808
Name:ENERGY HEALTH & WELLNESS LLC
Entity Type:Organization
Organization Name:ENERGY HEALTH & WELLNESS LLC
Other - Org Name:ENERGY HEALTH & FITNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MGR
Authorized Official - Prefix:
Authorized Official - First Name:LEONDINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CATENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-496-9100
Mailing Address - Street 1:59 FIELD ST STE 107
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-4956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:59 FIELD ST STE 107
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-4956
Practice Address - Country:US
Practice Address - Phone:860-496-9100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-27
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty