Healthcare Provider Details

I. General information

NPI: 1285425306
Provider Name (Legal Business Name): HEALTHIER HER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1708 CARRIAGE CREEK DR
DESOTO TX
75115-3676
US

IV. Provider business mailing address

1708 CARRIAGE CREEK DR
DESOTO TX
75115-3676
US

V. Phone/Fax

Practice location:
  • Phone: 693-963-3264
  • Fax:
Mailing address:
  • Phone: 469-396-3326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KENTORIA ROBERSON-WHITE
Title or Position: OWNER/NP
Credential:
Phone: 469-396-3326