Healthcare Provider Details

I. General information

NPI: 1699592097
Provider Name (Legal Business Name): A HEALTHY ME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2024
Last Update Date: 09/25/2024
Certification Date: 09/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1920 CENTERVILLE TPKE
VIRGINIA BEACH VA
23464-6800
US

IV. Provider business mailing address

PO BOX 35201
NORTH CHESTERFIELD VA
23235-0201
US

V. Phone/Fax

Practice location:
  • Phone: 804-426-6323
  • Fax:
Mailing address:
  • Phone: 804-426-6323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: LAVERA H. WILLIAMS
Title or Position: OWNER
Credential:
Phone: 804-426-6323