Healthcare Provider Details

I. General information

NPI: 1073491056
Provider Name (Legal Business Name): HEALTHY JUST FEELS RIGHT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

336 W 1ST ST STE 105
FLINT MI
48502-1382
US

IV. Provider business mailing address

336 W 1ST ST STE 105
FLINT MI
48502-1382
US

V. Phone/Fax

Practice location:
  • Phone: 810-252-1980
  • Fax:
Mailing address:
  • Phone: 810-252-1980
  • 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: DR. SHAN JACKSON
Title or Position: CEO
Credential:
Phone: 810-553-6531