Provider Demographics
NPI:1982216636
Name:EAT WELL, LLC
Entity Type:Organization
Organization Name:EAT WELL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEHANNA
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:724-610-9421
Mailing Address - Street 1:107 BELLEAUWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:TRAFFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15085-1220
Mailing Address - Country:US
Mailing Address - Phone:724-610-9472
Mailing Address - Fax:
Practice Address - Street 1:107 BELLEAUWOOD BLVD
Practice Address - Street 2:
Practice Address - City:TRAFFORD
Practice Address - State:PA
Practice Address - Zip Code:15085-1220
Practice Address - Country:US
Practice Address - Phone:724-610-9472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-22
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty