Provider Demographics
NPI:1780477125
Name:REDEEMING LIFE NUTRITION, LLC.
Entity type:Organization
Organization Name:REDEEMING LIFE NUTRITION, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:DREW
Authorized Official - Middle Name:KEELIA
Authorized Official - Last Name:MULVEY
Authorized Official - Suffix:
Authorized Official - Credentials:CNS, CDN
Authorized Official - Phone:203-470-8380
Mailing Address - Street 1:17A HERITAGE CRST
Mailing Address - Street 2:
Mailing Address - City:SOUTHBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06488-1370
Mailing Address - Country:US
Mailing Address - Phone:203-470-8380
Mailing Address - Fax:
Practice Address - Street 1:9 UNION SQ UNIT 1134
Practice Address - Street 2:
Practice Address - City:SOUTHBURY
Practice Address - State:CT
Practice Address - Zip Code:06488-2204
Practice Address - Country:US
Practice Address - Phone:203-718-6335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-28
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Multi-Specialty