Provider Demographics
NPI:1497306500
Name:SPRING NUTRITION & WELLNESS COMPANY
Entity Type:Organization
Organization Name:SPRING NUTRITION & WELLNESS COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND ONLY MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LDN
Authorized Official - Phone:570-972-6558
Mailing Address - Street 1:5265 ROCKROSE LN BLDG E15
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-8248
Mailing Address - Country:US
Mailing Address - Phone:570-972-6558
Mailing Address - Fax:
Practice Address - Street 1:3131 COLLEGE HEIGHTS BLVD STE 2400
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-4817
Practice Address - Country:US
Practice Address - Phone:610-432-7733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-20
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty