Provider Demographics
NPI:1710616651
Name:BELOVED EATING DISORDER COACHING & NUTRITION, LLC
Entity Type:Organization
Organization Name:BELOVED EATING DISORDER COACHING & NUTRITION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIETITIAN, RECOVERY COACH, FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:HALEY
Authorized Official - Middle Name:
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LD
Authorized Official - Phone:919-283-1560
Mailing Address - Street 1:7413 SIX FORKS RD # 177
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6164
Mailing Address - Country:US
Mailing Address - Phone:919-283-2984
Mailing Address - Fax:
Practice Address - Street 1:906 SHELLBROOK CT APT 5
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4217
Practice Address - Country:US
Practice Address - Phone:919-283-2984
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty