Provider Demographics
NPI:1447796016
Name:DASH COACHING-CONSULTING SOLUTIONS
Entity Type:Organization
Organization Name:DASH COACHING-CONSULTING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HOLMES ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:515-689-7115
Mailing Address - Street 1:3210 SW COVES DR
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-9143
Mailing Address - Country:US
Mailing Address - Phone:515-689-7115
Mailing Address - Fax:
Practice Address - Street 1:3210 SW COVES DR
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-9143
Practice Address - Country:US
Practice Address - Phone:515-689-7115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-06
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA86059632133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty