Provider Demographics
NPI:1518264522
Name:HEALTHY WAYS LLC
Entity Type:Organization
Organization Name:HEALTHY WAYS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TSVETOSLAV
Authorized Official - Middle Name:
Authorized Official - Last Name:GLOUZGAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-431-1942
Mailing Address - Street 1:38B GROVE ST
Mailing Address - Street 2:UNIT L-B
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-4665
Mailing Address - Country:US
Mailing Address - Phone:203-431-1942
Mailing Address - Fax:203-431-2688
Practice Address - Street 1:38B GROVE ST
Practice Address - Street 2:UNIT L-B
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-4665
Practice Address - Country:US
Practice Address - Phone:203-431-1942
Practice Address - Fax:203-431-2688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Single Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty