Provider Demographics
NPI:1013524727
Name:HEALTHIER YOU, LLC
Entity Type:Organization
Organization Name:HEALTHIER YOU, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLARISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:JUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:207-756-3073
Mailing Address - Street 1:3231 CAMINITO SAN LUCAS
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-0443
Mailing Address - Country:US
Mailing Address - Phone:505-535-3033
Mailing Address - Fax:505-570-5501
Practice Address - Street 1:3231 CAMINITO SAN LUCAS
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-0443
Practice Address - Country:US
Practice Address - Phone:505-535-3033
Practice Address - Fax:505-570-5501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-26
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty