Provider Demographics
NPI:1922285154
Name:DIABETES & NUTRITION EDUCATORS, LLC
Entity Type:Organization
Organization Name:DIABETES & NUTRITION EDUCATORS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ARMATTA
Authorized Official - Suffix:
Authorized Official - Credentials:LDN,RD,CDE
Authorized Official - Phone:337-207-9343
Mailing Address - Street 1:15455 MANCHESTER RD UNIT 13
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63022-5002
Mailing Address - Country:US
Mailing Address - Phone:337-207-9343
Mailing Address - Fax:866-438-4042
Practice Address - Street 1:100 LYNN DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-4512
Practice Address - Country:US
Practice Address - Phone:337-654-5971
Practice Address - Fax:337-330-2581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-30
Last Update Date:2018-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1008133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty