Healthcare Provider Details

I. General information

NPI: 1699500462
Provider Name (Legal Business Name): HERE FOR HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2024
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 ARDROSS AVE
AMBLER PA
19002-4901
US

IV. Provider business mailing address

507 ARDROSS AVE
AMBLER PA
19002-4901
US

V. Phone/Fax

Practice location:
  • Phone: 610-331-5439
  • Fax:
Mailing address:
  • Phone: 610-331-5439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DANIELLE BURGE
Title or Position: OWNER
Credential: MS, RDN, LDN
Phone: 610-331-5439