Healthcare Provider Details

I. General information

NPI: 1396870010
Provider Name (Legal Business Name): WEST ALABAMA NUTRITIONAL CONSULTANTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 UNIVERSITY BLVD E SUITE 809
TUSCALOOSA AL
35401-2086
US

IV. Provider business mailing address

PO BOX 21379
TUSCALOOSA AL
35402-1379
US

V. Phone/Fax

Practice location:
  • Phone: 205-247-2934
  • Fax:
Mailing address:
  • Phone: 205-826-9936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name: KRISTY M SATCHER
Title or Position: CEO
Credential: MA, RD, LD
Phone: 205-826-9936