Provider Demographics
NPI:1396413654
Name:WOODLANDS FAMILY NUTRITION CENTER LLC
Entity Type:Organization
Organization Name:WOODLANDS FAMILY NUTRITION CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRIOLA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, LD, CDCES
Authorized Official - Phone:281-844-7526
Mailing Address - Street 1:2001 TIMBERLOCH PL STE 500
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1375
Mailing Address - Country:US
Mailing Address - Phone:281-844-7526
Mailing Address - Fax:
Practice Address - Street 1:2001 TIMBERLOCH PL STE 500
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1375
Practice Address - Country:US
Practice Address - Phone:936-596-0445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty