MEDICARE: HEALTHY IS WEALTHY

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	133N00000X	Nutritionist

General Provider Information

NPI Number	:	1750078291
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHY IS WEALTHY

Provider Business Mailing Address
First Line	:	1901 ONION CREEK PKWY APT 9107
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-1975
Country	:	US
Telephone Number	:	163-094-5088
Fax Number	:

Provider Business Practice Location Address
First Line	:	1901 ONION CREEK PKWY APT 9107
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-1975
Country	:	US
Telephone Number	:	163-094-5088
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KIM LIEN LE
Credential	:
Telephone Number	:	630-945-0885

Provider Enumeration Date	:	04/24/2023
Last Update Date	:	04/24/2023

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Directions to “HEALTHY IS WEALTHY ” Practice Location

Language	Start Address	Practice Location

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