Healthcare Provider Details

I. General information

NPI: 1659996643
Provider Name (Legal Business Name): THYME TO GET HEALTHY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2020
Last Update Date: 09/27/2022
Certification Date: 09/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16703 WHITESIDE RD
MOUNT STERLING OH
43143-9059
US

IV. Provider business mailing address

16703 WHITESIDE RD
MOUNT STERLING OH
43143-9059
US

V. Phone/Fax

Practice location:
  • Phone: 614-989-5058
  • Fax:
Mailing address:
  • Phone: 614-989-5058
  • Fax: 833-603-1264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LINDSEY FAUSNAUGH
Title or Position: OWNER/DIETITIAN
Credential: RD, LD
Phone: 614-989-5058