Provider Demographics
NPI:1750078291
Name:HEALTHY IS WEALTHY
Entity type:Organization
Organization Name:HEALTHY IS WEALTHY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIM LIEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-945-0885
Mailing Address - Street 1:1901 ONION CREEK PKWY APT 9107
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-1975
Mailing Address - Country:US
Mailing Address - Phone:163-094-5088
Mailing Address - Fax:
Practice Address - Street 1:1901 ONION CREEK PKWY APT 9107
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-1975
Practice Address - Country:US
Practice Address - Phone:163-094-5088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty