Provider Demographics
NPI:1386330850
Name:A SOFT PLACE TO LAND
Entity type:Organization
Organization Name:A SOFT PLACE TO LAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LUYBLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, RDN, LDN
Authorized Official - Phone:484-519-0096
Mailing Address - Street 1:1126 FURNACE ST
Mailing Address - Street 2:
Mailing Address - City:HELLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18055-1309
Mailing Address - Country:US
Mailing Address - Phone:484-519-0096
Mailing Address - Fax:844-205-8296
Practice Address - Street 1:65 E ELIZABETH AVE STE 117
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-6506
Practice Address - Country:US
Practice Address - Phone:484-519-0096
Practice Address - Fax:844-205-8296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-17
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty