Provider Demographics
NPI:1780391581
Name:YOUR HAPPY HEALTHY
Entity type:Organization
Organization Name:YOUR HAPPY HEALTHY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position: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 1:6610 GUNPARK DR STE 202
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-3579
Practice Address - Country:US
Practice Address - Phone:708-717-7394
Practice Address - Fax:720-306-3508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-01
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center