Provider Demographics
NPI:1427191139
Name:NUTRITION COUNSELING SERVICES
Entity Type:Organization
Organization Name:NUTRITION COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTGERED DIETITIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:ABBE
Authorized Official - Middle Name:ROXANNE
Authorized Official - Last Name:GORBERG
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:919-345-4175
Mailing Address - Street 1:3712 CLIFF HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-8118
Mailing Address - Country:US
Mailing Address - Phone:919-345-4175
Mailing Address - Fax:
Practice Address - Street 1:3712 CLIFF HAVEN DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-8118
Practice Address - Country:US
Practice Address - Phone:919-345-4175
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNCL000392251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health