Provider Demographics
NPI:1437623782
Name:HONEST WELLNESS AND WEIGHT LOSS LLC
Entity Type:Organization
Organization Name:HONEST WELLNESS AND WEIGHT LOSS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LDN
Authorized Official - Phone:302-650-0179
Mailing Address - Street 1:110 CARRIAGE LN
Mailing Address - Street 2:
Mailing Address - City:SWEDESBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08085-1550
Mailing Address - Country:US
Mailing Address - Phone:302-650-0179
Mailing Address - Fax:484-540-7820
Practice Address - Street 1:110 CARRIAGE LN
Practice Address - Street 2:
Practice Address - City:SWEDESBORO
Practice Address - State:NJ
Practice Address - Zip Code:08085-1550
Practice Address - Country:US
Practice Address - Phone:302-650-0179
Practice Address - Fax:484-540-7820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-18
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty