Healthcare Provider Details

I. General information

NPI: 1194644435
Provider Name (Legal Business Name): GROOVING TO THE BEET NUTRITION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

158 S ABALONE DR
GILBERT AZ
85233-5642
US

IV. Provider business mailing address

158 S ABALONE DR
GILBERT AZ
85233-5642
US

V. Phone/Fax

Practice location:
  • Phone: 419-481-4160
  • Fax:
Mailing address:
  • Phone: 419-481-4160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: LAUREN MEHRY AMIRHAMZEH
Title or Position: REGISTERED DIETITIAN NUTRITIONIST
Credential: RDN
Phone: 419-481-4160