Provider Demographics
NPI:1003201252
Name:INSPIRD NUTRITION CONSULTING, LLC
Entity Type:Organization
Organization Name:INSPIRD NUTRITION CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HALEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODRICH
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LDN
Authorized Official - Phone:979-814-0702
Mailing Address - Street 1:4099 WILLIAM PENN HWY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2521
Mailing Address - Country:US
Mailing Address - Phone:412-372-1400
Mailing Address - Fax:412-372-1500
Practice Address - Street 1:4099 WILLIAM PENN HWY
Practice Address - Street 2:SUITE 202
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2521
Practice Address - Country:US
Practice Address - Phone:412-372-1400
Practice Address - Fax:412-372-1500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-04
Last Update Date:2015-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN005398133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty