Provider Demographics
NPI:1982225736
Name:STANTON NUTRITION COUNSELING
Entity Type:Organization
Organization Name:STANTON NUTRITION COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:STANTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN
Authorized Official - Phone:812-491-0194
Mailing Address - Street 1:1041 N ROYAL AVE STE A
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-7848
Mailing Address - Country:US
Mailing Address - Phone:812-491-0194
Mailing Address - Fax:812-461-6999
Practice Address - Street 1:1041 N ROYAL AVE STE A
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-7848
Practice Address - Country:US
Practice Address - Phone:812-491-0194
Practice Address - Fax:812-461-6999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-04
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty