Provider Demographics
NPI:1831610880
Name:HEALTHY WEIGHT OPTIONS, LLC
Entity type:Organization
Organization Name:HEALTHY WEIGHT OPTIONS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETIITAN NUTRITIONIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KAY
Authorized Official - Middle Name:S
Authorized Official - Last Name:BEATTY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN
Authorized Official - Phone:540-560-9232
Mailing Address - Street 1:16599 BERGTON RD
Mailing Address - Street 2:
Mailing Address - City:BERGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22811-2420
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16599 BERGTON RD
Practice Address - Street 2:
Practice Address - City:BERGTON
Practice Address - State:VA
Practice Address - Zip Code:22811-2420
Practice Address - Country:US
Practice Address - Phone:540-560-9232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTHY WEIGHT OPTIONS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-29
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No253Z00000XAgenciesIn Home Supportive Care
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care