Provider Demographics
NPI:1184428369
Name:EATWELL2HEALU NUTRITION & WELLNESS LLC
Entity type:Organization
Organization Name:EATWELL2HEALU NUTRITION & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:ISABEL
Authorized Official - Last Name:GONZALEZ DELATORRE
Authorized Official - Suffix:
Authorized Official - Credentials:RD, CDN
Authorized Official - Phone:347-494-0077
Mailing Address - Street 1:3 E EVERGREEN RD UNIT 101
Mailing Address - Street 2:#327
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-5146
Mailing Address - Country:US
Mailing Address - Phone:347-494-0077
Mailing Address - Fax:
Practice Address - Street 1:3 E EVERGREEN RD UNIT 101
Practice Address - Street 2:#327
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-5146
Practice Address - Country:US
Practice Address - Phone:347-494-0077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty