Ilivewell Nutrition

LBN: Ilivewell Nutrition Therapy Llc
Ilivewell Nutrition is an health care organization with primary practice located at 3724 Jefferson St Suite 316, Austin TX 78731-6225. The organization recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as the primary health care specialty. Ilivewell Nutrition Therapy Llc can be contacted via phone (512) 547-9274, or through Paczosa, Adrien B via phone (512) 547-9274.

Contact Information

Primary practice address
3724 Jefferson St Suite 316 Austin TX 78731-6225
Phone: (512) 547-9274
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Paczosa, Adrien B RD, LD, CEDRD-S
Phone: (512) 547-9274

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT80445 Texas

Profile Details

NPI number 1093150070
LBN Legal business name Ilivewell Nutrition Therapy Llc
DBA Doing business as Ilivewell Nutrition
Authorized official Paczosa, Adrien B RD, LD, CEDRD-S
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2013
Last updated May 1st, 2020 - about 5 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093150070 NPPES
Texas MEDICAID 1700077062

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