Provider Demographics
NPI:1295500130
Name:SAVAIA, CAROLYN (NBC-HWV)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:SAVAIA
Suffix:
Gender:F
Credentials:NBC-HWV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 ASHLYN LN
Mailing Address - Street 2:
Mailing Address - City:TRYON
Mailing Address - State:NC
Mailing Address - Zip Code:28782-7745
Mailing Address - Country:US
Mailing Address - Phone:727-512-2100
Mailing Address - Fax:
Practice Address - Street 1:103 ASHLYN LN
Practice Address - Street 2:
Practice Address - City:TRYON
Practice Address - State:NC
Practice Address - Zip Code:28782-7745
Practice Address - Country:US
Practice Address - Phone:727-512-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
A-3177706171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach