Provider Demographics
NPI:1639766413
Name:FEED & FLOURISH NUTRITION THERAPY, LLC
Entity Type:Organization
Organization Name:FEED & FLOURISH NUTRITION THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER/REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:BELLINO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, LDN
Authorized Official - Phone:978-866-6290
Mailing Address - Street 1:PO BOX 636
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03076-0636
Mailing Address - Country:US
Mailing Address - Phone:978-866-6290
Mailing Address - Fax:978-674-5482
Practice Address - Street 1:90 WASHINGTON ST STE 203
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-3759
Practice Address - Country:US
Practice Address - Phone:978-866-6290
Practice Address - Fax:978-674-5482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-28
Last Update Date:2021-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty