| Healing Nutrition Therapy Of Louisiana | |
|
1502 Stubbs Ave Monroe LA 71201-5628 | |
| (318) 614-5097 | |
| (855) 932-4846 |
| Full Name | Healing Nutrition Therapy Of Louisiana |
|---|---|
| Speciality | Dietitian, Registered |
| Location | 1502 Stubbs Ave, Monroe, Louisiana |
| Authorized Official Name and Position | Crystal Hays Fox (OWNER) |
| Authorized Official Contact | 3186145097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Nutrition Therapy Of Louisiana 1502 Stubbs Ave Monroe LA 71201-5628 Ph: (318) 614-5097 | Healing Nutrition Therapy Of Louisiana 1502 Stubbs Ave Monroe LA 71201-5628 Ph: (318) 614-5097 |
| NPI Number | 1528729860 |
|---|---|
| Provider Enumeration Date | 01/08/2022 |
| Last Update Date | 01/08/2022 |
| Certification Date | 01/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528729860 | NPI | - | NPPES |
| 2190962 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
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