Provider Demographics
NPI:1013537711
Name:SENSIBLE NUTRITION COUNSELING LLC
Entity Type:Organization
Organization Name:SENSIBLE NUTRITION COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCALLISTER
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:435-881-1592
Mailing Address - Street 1:PO BOX 452
Mailing Address - Street 2:
Mailing Address - City:PARADISE
Mailing Address - State:UT
Mailing Address - Zip Code:84328-0452
Mailing Address - Country:US
Mailing Address - Phone:435-881-1592
Mailing Address - Fax:
Practice Address - Street 1:225 E 8650 S
Practice Address - Street 2:
Practice Address - City:PARADISE
Practice Address - State:UT
Practice Address - Zip Code:84328
Practice Address - Country:US
Practice Address - Phone:435-881-1592
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-22
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty