Provider Demographics
NPI:1629738729
Name:EATING GOD'S WAY
Entity Type:Organization
Organization Name:EATING GOD'S WAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:BIANCA
Authorized Official - Middle Name:PHILLICE
Authorized Official - Last Name:COATS
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LDN
Authorized Official - Phone:337-336-0216
Mailing Address - Street 1:9243 HIGHLAND OAKS AVENUE
Mailing Address - Street 2:
Mailing Address - City:ZACHARY
Mailing Address - State:LA
Mailing Address - Zip Code:70791
Mailing Address - Country:US
Mailing Address - Phone:337-371-1207
Mailing Address - Fax:
Practice Address - Street 1:120 HUNTINGTON DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-7116
Practice Address - Country:US
Practice Address - Phone:337-336-0216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EATING GOD'S WAY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-30
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty