Provider Demographics
NPI:1790430387
Name:HUNGRY FOR HEALTH NUTRITION COUNSELING, LLC
Entity Type:Organization
Organization Name:HUNGRY FOR HEALTH NUTRITION COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:NICOL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN, LDN
Authorized Official - Phone:401-363-2546
Mailing Address - Street 1:1167 KINGSTOWN RD UNIT 3
Mailing Address - Street 2:
Mailing Address - City:SOUTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02879-7902
Mailing Address - Country:US
Mailing Address - Phone:401-363-2546
Mailing Address - Fax:401-522-6062
Practice Address - Street 1:1167 KINGSTOWN RD UNIT 3
Practice Address - Street 2:
Practice Address - City:SOUTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02879-7902
Practice Address - Country:US
Practice Address - Phone:401-363-2546
Practice Address - Fax:401-522-6062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-13
Last Update Date:2022-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty