Provider Demographics
NPI:1720654015
Name:THE DIETITIAN CENTER LLC
Entity Type:Organization
Organization Name:THE DIETITIAN CENTER LLC
Other - Org Name:VITA DIETITIANS LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:JOHANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROHLER
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:317-677-4242
Mailing Address - Street 1:3910 HARLINGTON LN
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-3654
Mailing Address - Country:US
Mailing Address - Phone:317-677-4242
Mailing Address - Fax:
Practice Address - Street 1:1400 PRESTON RD STE 400
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5189
Practice Address - Country:US
Practice Address - Phone:214-651-4178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-27
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty