Provider Demographics
NPI:1821787797
Name:NOURISHING HABITS LLC
Entity Type:Organization
Organization Name:NOURISHING HABITS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAULINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ TENORIO
Authorized Official - Suffix:
Authorized Official - Credentials:RD,LD
Authorized Official - Phone:832-610-9749
Mailing Address - Street 1:18 S WHEATLEIGH DR
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-1474
Mailing Address - Country:US
Mailing Address - Phone:832-610-9749
Mailing Address - Fax:
Practice Address - Street 1:18 S WHEATLEIGH DR
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-1474
Practice Address - Country:US
Practice Address - Phone:832-610-9749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty