# EARTH BAR LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003513524
- **Authorized official:** UNIQUA CLEMONS CHHP (OWNER)
- **Authorized official phone:** (706) 941-2302

## Contact information

- **Practice address:** 2855 TOBACCO RD STE D, HEPHZIBAH, GA 30815-7197
- **Practice address phone:** (706) 941-2302
- **Mailing address:** 2855 TOBACCO RD STE D, HEPHZIBAH, GA 30815-7197
- **Mailing address phone:** (706) 941-2302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |

## Other

- **Enumeration date:** 02/15/2023
- **Last updated:** 02/15/2023