Healthcare Provider Details

I. General information

NPI: 1487508800
Provider Name (Legal Business Name): EARTH & ETHER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2026
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 ALTSCHUL AVE
MENLO PARK CA
94025-6515
US

IV. Provider business mailing address

1815 ALTSCHUL AVE
MENLO PARK CA
94025-6515
US

V. Phone/Fax

Practice location:
  • Phone: 312-330-3430
  • Fax:
Mailing address:
  • Phone: 312-330-3430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: MRS. SONALI BHAT
Title or Position: CEO
Credential: PRANIC HEALER
Phone: 312-330-3430