Provider Demographics
NPI:1902492085
Name:HEALTHY HABITS BY ALEXIA
Entity Type:Organization
Organization Name:HEALTHY HABITS BY ALEXIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED HEALTH COACH
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAESAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-312-8312
Mailing Address - Street 1:288 111TH AVE NE APT 210
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-5161
Mailing Address - Country:US
Mailing Address - Phone:559-312-8312
Mailing Address - Fax:
Practice Address - Street 1:288 111TH AVE NE APT 210
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-5161
Practice Address - Country:US
Practice Address - Phone:559-312-8312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-14
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service