Provider Demographics
NPI:1437875481
Name:UNRESTRICTED NUTRITION COUNSELING AND CONSULTING, LLC
Entity Type:Organization
Organization Name:UNRESTRICTED NUTRITION COUNSELING AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/REGISTERED DIETITIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:STEFANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GINSBURG
Authorized Official - Suffix:
Authorized Official - Credentials:RD, CEDRD-S
Authorized Official - Phone:720-541-8684
Mailing Address - Street 1:102 HOOVER AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-2151
Mailing Address - Country:US
Mailing Address - Phone:720-541-8684
Mailing Address - Fax:
Practice Address - Street 1:102 HOOVER AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-2151
Practice Address - Country:US
Practice Address - Phone:720-541-8684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health