Provider Demographics
NPI:1760218374
Name:MNT ASSOCIATES LLC
Entity type:Organization
Organization Name:MNT ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:MAY
Authorized Official - Last Name:MCKINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:RDN, LDN, CDCES
Authorized Official - Phone:903-918-0120
Mailing Address - Street 1:1623 OLYMPIC DR
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-2748
Mailing Address - Country:US
Mailing Address - Phone:269-290-5396
Mailing Address - Fax:903-205-8541
Practice Address - Street 1:606 S SEVEN POINTS DR STE 10
Practice Address - Street 2:
Practice Address - City:SEVEN POINTS
Practice Address - State:TX
Practice Address - Zip Code:75143-9117
Practice Address - Country:US
Practice Address - Phone:214-432-5633
Practice Address - Fax:903-205-8541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-10
Last Update Date:2024-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty