Provider Demographics
NPI:1801170030
Name:WELLNESS COACHING & NUTRITION THERAPY, PLLC
Entity type:Organization
Organization Name:WELLNESS COACHING & NUTRITION THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SOLE MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:SECHI
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN, CEDS-C
Authorized Official - Phone:713-997-9613
Mailing Address - Street 1:24384 PARAGON PLACE
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401
Mailing Address - Country:US
Mailing Address - Phone:713-997-9613
Mailing Address - Fax:713-903-7918
Practice Address - Street 1:411 PARK GROVE #720
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450
Practice Address - Country:US
Practice Address - Phone:713-997-9613
Practice Address - Fax:713-903-7918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-06
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT04976133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty