# HEALTH & LIFESTYLES VIP LLC

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

## Provider details

- **NPI number:** 1134914203
- **Authorized official:** PENNY STOCKTON LOGAN ARNP (PRESIDENT, CEO)
- **Authorized official phone:** (606) 306-7706

## Contact information

- **Practice address:** 61 CONCORD SPUR ROAD, ALBANY, KY 42602
- **Practice address phone:** (606) 934-0684
- **Practice address fax:** (606) 777-7560
- **Mailing address:** PO BOX 237, ALBANY, KY 42602-0237
- **Mailing address phone:** (606) 934-0684
- **Mailing address fax:** (606) 777-7560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2025
- **Last updated:** 10/28/2025