Provider Demographics
NPI:1386151876
Name:THE WAY TO HEALTHY LIVING
Entity type:Organization
Organization Name:THE WAY TO HEALTHY LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:UGLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-450-6841
Mailing Address - Street 1:11229 E LAW RD
Mailing Address - Street 2:
Mailing Address - City:NORTH EAST
Mailing Address - State:PA
Mailing Address - Zip Code:16428-3804
Mailing Address - Country:US
Mailing Address - Phone:814-450-6841
Mailing Address - Fax:814-725-0707
Practice Address - Street 1:4508 ZUCK RD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-4523
Practice Address - Country:US
Practice Address - Phone:814-833-4853
Practice Address - Fax:814-725-0707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-05
Last Update Date:2018-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty