Provider Demographics
NPI:1164188041
Name:INCLUSIVE NUTRITION COUNSELING, PLLC
Entity Type:Organization
Organization Name:INCLUSIVE NUTRITION COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:716-939-1116
Mailing Address - Street 1:252 BURROUGHS DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-3907
Mailing Address - Country:US
Mailing Address - Phone:716-939-1116
Mailing Address - Fax:
Practice Address - Street 1:252 BURROUGHS DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-3907
Practice Address - Country:US
Practice Address - Phone:716-939-1116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-15
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty