Organization
HEALTHY LIFESTYLES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIMISHA PATEL LCSW, RD/LD (MANAGING DIRECTOR)
(469) 854-1656
Entity
Organization
Contact information
Practice address
1514 N GREENVILLE AVE STE 310, ALLEN, TX 75002-1205
(469) 854-1656
Mailing address
1514 N GREENVILLE AVE, SUITE 310, ALLEN, TX 75002-1202
(469) 854-1656
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
42728
TX
133V00000X
Registered Dietitian
DT80265
TX
Other
Enumeration date
06/19/2011
Last updated
09/07/2012
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