Healthcare Provider Details

I. General information

NPI: 1467265553
Provider Name (Legal Business Name): GET HEALTHY NATURALLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1952 WHITNEY AVE
HAMDEN CT
06517-1209
US

IV. Provider business mailing address

1952 WHITNEY AVE
HAMDEN CT
06517-1209
US

V. Phone/Fax

Practice location:
  • Phone: 203-848-1803
  • Fax: 203-848-1777
Mailing address:
  • Phone: 203-848-1803
  • Fax: 203-848-1777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CAMILLE AUGUSTINE
Title or Position: ADMINISTRATIVE ASSITANT
Credential:
Phone: 203-848-1803