| Organization Name: | HEALTHY HABITS WELLNESS CTR, INC |
| NPI Number: | 1659323665 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JON M MILLER (PRESIDENT) |
| Mailing Address: | 140 Stollings Ave Logan |
| State: | WV US |
| Postal Code: | 256014011 |
| Phone Number: | 3047524594 |
| Fax Number: | 3047525629 |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 07/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 785374 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |