Provider Demographics
NPI:1962005058
Name:RACHAL NUTRITION CONSULTING LLC
Entity Type:Organization
Organization Name:RACHAL NUTRITION CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:RACHAL
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:318-532-4700
Mailing Address - Street 1:670 ALBEMARLE DR STE 700
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71106-5946
Mailing Address - Country:US
Mailing Address - Phone:318-532-4700
Mailing Address - Fax:318-209-3417
Practice Address - Street 1:670 ALBEMARLE DR STE 700
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71106-5946
Practice Address - Country:US
Practice Address - Phone:318-532-4700
Practice Address - Fax:318-209-3417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty