Provider Demographics
NPI:1083428262
Name:HEALTHY WEALTHY PHOOD LLC
Entity type:Organization
Organization Name:HEALTHY WEALTHY PHOOD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED DIETITIAN NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:RACQUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUSEN
Authorized Official - Suffix:
Authorized Official - Credentials:LDN
Authorized Official - Phone:609-200-0204
Mailing Address - Street 1:30 W PARK PL FL 3
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-4099
Mailing Address - Country:US
Mailing Address - Phone:609-200-0204
Mailing Address - Fax:908-509-6210
Practice Address - Street 1:30 W PARK PL FL 3
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-4099
Practice Address - Country:US
Practice Address - Phone:609-200-0204
Practice Address - Fax:908-509-6210
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTHY WEALTHY PHOOD SOLUTIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty