Provider Demographics
NPI:1730772906
Name:REDISCOVER HEALTH LLC
Entity type:Organization
Organization Name:REDISCOVER HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LANHAM
Authorized Official - Suffix:
Authorized Official - Credentials:CNS, NBC-HWC
Authorized Official - Phone:304-356-6617
Mailing Address - Street 1:853 VINE ST
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:WV
Mailing Address - Zip Code:25177-3271
Mailing Address - Country:US
Mailing Address - Phone:304-356-6617
Mailing Address - Fax:
Practice Address - Street 1:91 OLDE MAIN PLZ
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:WV
Practice Address - Zip Code:25177-2707
Practice Address - Country:US
Practice Address - Phone:304-729-4117
Practice Address - Fax:304-407-7557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty