Provider Demographics
NPI:1649932377
Name:WELLNESS WITH LANEY LLC
Entity type:Organization
Organization Name:WELLNESS WITH LANEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LANEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MORSE
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, LDN, CPT
Authorized Official - Phone:413-345-1564
Mailing Address - Street 1:49 SAMOSET AVE
Mailing Address - Street 2:
Mailing Address - City:HULL
Mailing Address - State:MA
Mailing Address - Zip Code:02045-2512
Mailing Address - Country:US
Mailing Address - Phone:413-345-1564
Mailing Address - Fax:
Practice Address - Street 1:49 SAMOSET AVE
Practice Address - Street 2:
Practice Address - City:HULL
Practice Address - State:MA
Practice Address - Zip Code:02045-2512
Practice Address - Country:US
Practice Address - Phone:413-345-1564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-11
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty