Provider Demographics
NPI:1992467294
Name:HEALTHFOODNESS LLC
Entity Type:Organization
Organization Name:HEALTHFOODNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEZA DEL VILLAR
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:713-992-4847
Mailing Address - Street 1:14 TWIG CORNER CT
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-1469
Mailing Address - Country:US
Mailing Address - Phone:713-992-4847
Mailing Address - Fax:
Practice Address - Street 1:9595 SIX PINES DR FL 2
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-1531
Practice Address - Country:US
Practice Address - Phone:713-992-4847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-13
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty