Provider Demographics
NPI:1891590493
Name:WELLNESS PROJECT 365
Entity type:Organization
Organization Name:WELLNESS PROJECT 365
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PRACTIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, RDN, IBCLC
Authorized Official - Phone:303-437-6961
Mailing Address - Street 1:11983 SONG BIRD HILLS ST
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8687
Mailing Address - Country:US
Mailing Address - Phone:303-437-6961
Mailing Address - Fax:
Practice Address - Street 1:11983 SONG BIRD HILLS ST
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-8687
Practice Address - Country:US
Practice Address - Phone:303-437-6961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight ManagementGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty