Provider Demographics
NPI:1386225084
Name:TASTE FOR LIFE, LLC
Entity Type:Organization
Organization Name:TASTE FOR LIFE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:CAMPESI
Authorized Official - Last Name:BATSON
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LDN
Authorized Official - Phone:225-910-1375
Mailing Address - Street 1:59805 AVERY JAMES DR
Mailing Address - Street 2:
Mailing Address - City:PLAQUEMINE
Mailing Address - State:LA
Mailing Address - Zip Code:70764-5269
Mailing Address - Country:US
Mailing Address - Phone:225-910-1375
Mailing Address - Fax:
Practice Address - Street 1:331 GRANDPRE ST
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70802-5919
Practice Address - Country:US
Practice Address - Phone:225-366-9620
Practice Address - Fax:833-233-1274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service