Provider Demographics
NPI:1629301502
Name:SKILLFUL EATING, LLC
Entity Type:Organization
Organization Name:SKILLFUL EATING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHANTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:GARIEPY
Authorized Official - Suffix:
Authorized Official - Credentials:RD, CDE
Authorized Official - Phone:805-403-7533
Mailing Address - Street 1:2024 ANACAPA ST APT 2
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-5519
Mailing Address - Country:US
Mailing Address - Phone:805-403-7533
Mailing Address - Fax:
Practice Address - Street 1:1500 CHAPALA ST
Practice Address - Street 2:SUITE A
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-3075
Practice Address - Country:US
Practice Address - Phone:805-403-7533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-10
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA838491133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty