Provider Demographics
NPI:1861180325
Name:BODY POSITIVE NUTRITION COUNSELING LLC
Entity type:Organization
Organization Name:BODY POSITIVE NUTRITION COUNSELING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG JONES
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:208-541-2832
Mailing Address - Street 1:1075 S UTAH AVE STE 352
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83402-3320
Mailing Address - Country:US
Mailing Address - Phone:208-541-2832
Mailing Address - Fax:
Practice Address - Street 1:1075 S UTAH AVE STE 352
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83402-3320
Practice Address - Country:US
Practice Address - Phone:208-541-2832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-24
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty