# GHOAT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hundred Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144044397
- **Authorized official:** MR. TYLER SMITH (SOLE MEMBER)
- **Authorized official phone:** (916) 412-1156

## Contact information

- **Practice address:** 825 K ST STE 200, SACRAMENTO, CA 95814-3547
- **Practice address phone:** (916) 412-1156
- **Mailing address:** 825 K ST STE 200, SACRAMENTO, CA 95814-3547
- **Mailing address phone:** (916) 412-1156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 11/14/2024
- **Last updated:** 11/14/2024
