Provider Demographics
NPI:1346950367
Name:TAPESTRY WELLNESS INSTITUTE LLC
Entity type:Organization
Organization Name:TAPESTRY WELLNESS INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RDN
Authorized Official - Prefix:
Authorized Official - First Name:TRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-922-6847
Mailing Address - Street 1:27 KEENELAND TRL
Mailing Address - Street 2:
Mailing Address - City:BLYTHEWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29016-7111
Mailing Address - Country:US
Mailing Address - Phone:803-922-6847
Mailing Address - Fax:803-335-0203
Practice Address - Street 1:425 SUMMIT TERRACE CT BLDG 4
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-7056
Practice Address - Country:US
Practice Address - Phone:803-922-6847
Practice Address - Fax:803-335-0203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GALD006663OtherRDN LICENSE
NCL007507OtherRDN LICENSE
SC2528OtherRDN LICENSE