Provider Demographics
NPI:1891142121
Name:NUTRITION COUNSELLING FOR WELLNESS, LLC
Entity Type:Organization
Organization Name:NUTRITION COUNSELLING FOR WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:SALIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MANZAR
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:609-577-4480
Mailing Address - Street 1:10 OAKMONT TER
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-2511
Mailing Address - Country:US
Mailing Address - Phone:609-577-4480
Mailing Address - Fax:
Practice Address - Street 1:10 OAKMONT TER
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-2511
Practice Address - Country:US
Practice Address - Phone:609-577-4480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-17
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0450049769133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty