Provider Demographics
NPI:1396342390
Name:WHOLE HARMONY NUTRITION, LLC
Entity type:Organization
Organization Name:WHOLE HARMONY NUTRITION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIETITIAN-NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:J
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CDN
Authorized Official - Phone:203-820-4800
Mailing Address - Street 1:111 WEST AVE
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-4307
Mailing Address - Country:US
Mailing Address - Phone:203-820-4800
Mailing Address - Fax:
Practice Address - Street 1:111 WEST AVE
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820-4307
Practice Address - Country:US
Practice Address - Phone:203-820-4800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-04
Last Update Date:2020-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty