Activate Your Health Nutrition, LLC
Organization Active NPI Health Service Clinic/Center · Roswell, GA
NPI 1407328776 · NPPES record last updated May 19, 2022
Key facts
- NPI
- 1407328776
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- Legal business name
- ACTIVATE YOUR HEALTH NUTRITION, LLC
- Practice address
- 1905 Woodstock Rd Ste 7100
Roswell, GA 30075-5632 - Phone
- (678) 379-7882
- NPI assigned
- Dec 26, 2018
- Organization subpart
- No
Authorized official
- Name
- Ashley Meccia
- Title
- Owner
- Phone
- (678) 379-7882
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Yes |
Addresses
Primary practice location
1905 Woodstock Rd Ste 7100
Roswell, GA 30075-5632
Mailing address
241 Cornerstone Dr
Woodstock, GA 30188-5414
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LD003790 | Other | GA | LICENSURE |
Other providers in Roswell, GA
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- Adriana Acosta-Prows
- Action Physical Therapy
- Rachel Joan Thurston Adams
- Rebecca Adams
- Addison Healthcare Inc
- Adrryl Addison
- Adele T Hernandez, LPC LLC
All providers in Roswell, GA · Health Service Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.