MEDICARE: HAPPENING HABITS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	124Q00000X	Dental Hygienist

General Provider Information

NPI Number	:	1164175774
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPENING HABITS

Provider Business Mailing Address
First Line	:	13116 NE 62ND AVE
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98686-4962
Country	:	US
Telephone Number	:	360-216-9002
Fax Number	:

Provider Business Practice Location Address
First Line	:	1921 KALISTE SALOOM RD STE 203A-I
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-6182
Country	:	US
Telephone Number	:	337-366-1411
Fax Number	:

Authorized Official
Title or Position	:	CERTIFIED OROFACIAL MYOLOGIST
Name	:	MRS. VIOLA ZABOLOTSKIY
Credential	:	RDH, BASDH
Telephone Number	:	360-216-9002

Provider Enumeration Date	:	02/02/2022
Last Update Date	:	02/09/2022

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Directions to “HAPPENING HABITS ” Practice Location

Language	Start Address	Practice Location

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