Provider Demographics
NPI:1831698612
Name:FROM THE HEART NUTRITION COUNSELING, INC.
Entity type:Organization
Organization Name:FROM THE HEART NUTRITION COUNSELING, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:FAYRAM
Authorized Official - Suffix:
Authorized Official - Credentials:RDN,LDN,CEDRD
Authorized Official - Phone:401-521-2815
Mailing Address - Street 1:1 RICHMOND SQ STE 158E
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-5141
Mailing Address - Country:US
Mailing Address - Phone:360-393-9711
Mailing Address - Fax:401-633-6115
Practice Address - Street 1:1 RICHMOND SQ STE 134C
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-5166
Practice Address - Country:US
Practice Address - Phone:401-521-2815
Practice Address - Fax:401-214-9633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-07
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2915133V00000X
RILDN00860133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty