Healthcare Provider Details

I. General information

NPI: 1982902060
Provider Name (Legal Business Name): HEALTHY BEING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2011
Last Update Date: 03/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7005 4TH ST N SUITE 3
ST PETERSBURG FL
33702-5909
US

IV. Provider business mailing address

7005 4TH ST N SUITE 3
ST PETERSBURG FL
33702-5909
US

V. Phone/Fax

Practice location:
  • Phone: 727-502-3464
  • Fax:
Mailing address:
  • Phone: 727-502-3464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number
License Number State
# 8
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMM25751
License Number StateFL

VIII. Authorized Official

Name: MISS MELISSA R GALLAGHER
Title or Position: MANAGING PARTNER
Credential: M.S., ND, LDT
Phone: 727-502-3464