# AHTRANSFORM HEALTH LLC

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

## Provider details

- **NPI number:** 1174313308
- **Authorized official:** MR. ANDRE LUIZ ZIPPERER HABOWSKY (CEO)
- **Authorized official phone:** (407) 371-9265

## Contact information

- **Practice address:** 12301 MAGNOLIA BLVD APT 206, VALLEY VILLAGE, CA 91607-2518
- **Practice address phone:** (407) 371-9265
- **Mailing address:** 12301 MAGNOLIA BLVD APT 206, VALLEY VILLAGE, CA 91607-2518
- **Mailing address phone:** (407) 371-9265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | Yes |
| 133NN1002X | Nutrition Education Nutritionist | — | — | Yes |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 133VN1004X | Pediatric Nutrition Registered Dietitian | — | NULL | — |
| 133VN1004X | Pediatric Nutrition Registered Dietitian | — | — | — |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | — | NULL | — |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | — | — | — |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | NULL | — |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | — | — |
| 133VN1501X | Sports Dietetics Nutrition Registered Dietitian | — | NULL | — |
| 133VN1501X | Sports Dietetics Nutrition Registered Dietitian | — | — | — |

## Other

- **Enumeration date:** 05/09/2025
- **Last updated:** 05/09/2025