Provider Demographics
NPI:1124570320
Name:CONNECTING HEALTH INNOVATIONS LLC
Entity Type:Organization
Organization Name:CONNECTING HEALTH INNOVATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:FAITH
Authorized Official - Last Name:HOUSTON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:864-915-4636
Mailing Address - Street 1:PO BOX 50816
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29250-0816
Mailing Address - Country:US
Mailing Address - Phone:803-714-3311
Mailing Address - Fax:866-234-6057
Practice Address - Street 1:1417 GREGG ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-3527
Practice Address - Country:US
Practice Address - Phone:803-714-3311
Practice Address - Fax:866-234-6057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-04
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty