Provider Demographics
NPI:1164137436
Name:LEVIEN NUTRITION COUNSELING LIMITED LIABILITY COMPANY
Entity Type:Organization
Organization Name:LEVIEN NUTRITION COUNSELING LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVIEN
Authorized Official - Suffix:
Authorized Official - Credentials:LDN, RDN
Authorized Official - Phone:512-730-0336
Mailing Address - Street 1:7415 SOUTHWEST PKWY BLDG 6 STE 500 #234
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735
Mailing Address - Country:US
Mailing Address - Phone:512-730-0336
Mailing Address - Fax:
Practice Address - Street 1:7415 SOUTHWEST PKWY BLDG 6 STE 500 #234
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735
Practice Address - Country:US
Practice Address - Phone:512-730-0336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-20
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty