Provider Demographics
NPI:1770129884
Name:REAL HEALTHY HABITS LLC
Entity type:Organization
Organization Name:REAL HEALTHY HABITS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TREVA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:256-527-6040
Mailing Address - Street 1:108 BRICKSTONE PL
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35756-3498
Mailing Address - Country:US
Mailing Address - Phone:256-527-6040
Mailing Address - Fax:
Practice Address - Street 1:7027 OLD MADISON PIKE NW STE 108
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-2369
Practice Address - Country:US
Practice Address - Phone:256-530-6040
Practice Address - Fax:844-878-0475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-24
Last Update Date:2022-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty