Provider Demographics
NPI:1932332483
Name:SOUND NUTRITION SERVICES
Entity Type:Organization
Organization Name:SOUND NUTRITION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, RD, LDN
Authorized Official - Phone:304-673-5916
Mailing Address - Street 1:420 ORCHARD AVE
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-4118
Mailing Address - Country:US
Mailing Address - Phone:304-673-5916
Mailing Address - Fax:877-616-9558
Practice Address - Street 1:420 ORCHARD AVE
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-4118
Practice Address - Country:US
Practice Address - Phone:304-673-5916
Practice Address - Fax:877-616-9558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-01
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV598133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty