Provider Demographics
NPI:1194972927
Name:SYNERGY HEALTH AND WELLNESS,LLC
Entity type:Organization
Organization Name:SYNERGY HEALTH AND WELLNESS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIKKA
Authorized Official - Middle Name:M
Authorized Official - Last Name:KEEFER
Authorized Official - Suffix:
Authorized Official - Credentials:CMT, CSN,CP
Authorized Official - Phone:303-471-1071
Mailing Address - Street 1:1100 W LITTLETON BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-2239
Mailing Address - Country:US
Mailing Address - Phone:303-471-1071
Mailing Address - Fax:
Practice Address - Street 1:1100 W LITTLETON BLVD STE 200
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-2239
Practice Address - Country:US
Practice Address - Phone:303-471-1071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-22
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133NN1002X, 173C00000X, 174400000X
CO174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No173C00000XOther Service ProvidersReflexologistGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty