Provider Demographics
NPI:1134607567
Name:NUTRITION COUNSELING AND WELLNESS PARTNERS OF ALABAMA, LLC
Entity type:Organization
Organization Name:NUTRITION COUNSELING AND WELLNESS PARTNERS OF ALABAMA, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEATH
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:256-454-7317
Mailing Address - Street 1:2905 ROY WEBB RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36265-8174
Mailing Address - Country:US
Mailing Address - Phone:256-454-7317
Mailing Address - Fax:
Practice Address - Street 1:525 S 3RD ST
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35901-5306
Practice Address - Country:US
Practice Address - Phone:256-454-7317
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-28
Last Update Date:2018-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2666133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty