Provider Demographics
NPI:1336755636
Name:YOUR HAPPY HEALTHY
Entity Type:Organization
Organization Name:YOUR HAPPY HEALTHY
Other - Org Name:SIDE BY SIDE NUTRITION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RD, CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGDIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-717-7394
Mailing Address - Street 1:8120 SHERIDAN BLVD STE 315C
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-6160
Mailing Address - Country:US
Mailing Address - Phone:708-717-7394
Mailing Address - Fax:
Practice Address - Street 1:343 W DRAKE RD STE 275
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-6317
Practice Address - Country:US
Practice Address - Phone:708-717-7394
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YOUR HAPPY HEALTHY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-22
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Single Specialty