Organization
HEALTHY LIVING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THANH NGUYEN (CEO)
(720) 741-6647
Entity
Organization
Contact information
Practice address
1138 N GERMANTOWN PKWY STE 101-491, CORDOVA, TN 38016-5872
(720) 741-6647
Mailing address
1138 N GERMANTOWN PKWY STE 101-491, CORDOVA, TN 38016-5872
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPI
1689235525
CA
Enumeration date
09/10/2021
Last updated
10/15/2021
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