Provider Demographics
NPI:1366747123
Name:NUTRITION & WELLNESS CONSULTING LLC
Entity type:Organization
Organization Name:NUTRITION & WELLNESS CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AARTI
Authorized Official - Middle Name:KISHORE
Authorized Official - Last Name:BATAVIA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, CLT
Authorized Official - Phone:517-290-6041
Mailing Address - Street 1:45728 LAKEVIEW CT
Mailing Address - Street 2:APT 15203
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-3837
Mailing Address - Country:US
Mailing Address - Phone:517-290-6041
Mailing Address - Fax:
Practice Address - Street 1:26850 PROVIDENCE PKWY
Practice Address - Street 2:SUITE 425
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48374-1213
Practice Address - Country:US
Practice Address - Phone:517-290-6041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-25
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty