Provider Demographics
NPI:1851771059
Name:JULIE DILLON CONSULTING, INC.
Entity Type:Organization
Organization Name:JULIE DILLON CONSULTING, INC.
Other - Org Name:BIRDHOUSE NUTRITION THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, NCC, CEDRD
Authorized Official - Phone:336-273-2808
Mailing Address - Street 1:5509B W FRIENDLY AVE
Mailing Address - Street 2:SUITE 325
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-4270
Mailing Address - Country:US
Mailing Address - Phone:336-273-2808
Mailing Address - Fax:336-852-2595
Practice Address - Street 1:5509B W FRIENDLY AVE
Practice Address - Street 2:SUITE 325
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-4270
Practice Address - Country:US
Practice Address - Phone:336-273-2808
Practice Address - Fax:336-852-2595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL001970133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty