Provider Demographics
NPI:1265305601
Name:MINDFULLY NOURISHED CONSULTING LLC
Entity type:Organization
Organization Name:MINDFULLY NOURISHED CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIETITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELLA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HORSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:260-433-9560
Mailing Address - Street 1:150 S LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47803-2416
Mailing Address - Country:US
Mailing Address - Phone:260-433-9560
Mailing Address - Fax:
Practice Address - Street 1:150 S LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47803-2416
Practice Address - Country:US
Practice Address - Phone:260-433-9560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty