Deep Well Collective

LBN: Deep Well Collective
Deep Well Collective is an health care organization with primary practice located at 2071 Afton Mountain Rd , Afton VA 22920-2308. The organization recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Dietary & Nutritional Service Providers / Nutritionist is the primary health care specialty. Deep Well Collective can be contacted via phone (434) 326-8635, or through Hall, Ryan D via phone (434) 326-8635.

Contact Information

Primary practice address
2071 Afton Mountain Rd Afton VA 22920-2308
Phone: (434) 326-8635
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hall, Ryan D DCN, CNS, LDN
Phone: (434) 326-8635

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X

Profile Details

NPI number 1669210969
LBN Legal business name Deep Well Collective
DBA Doing business as
Authorized official Hall, Ryan D DCN, CNS, LDN
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2024
Last updated Jul 19th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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