Healthcare Provider Details

I. General information

NPI: 1750271532
Provider Name (Legal Business Name): RIVER VALLEY DIETETICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2025
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 FORT ST STE H
BARLING AR
72923-2045
US

IV. Provider business mailing address

PO BOX 23027
BARLING AR
72923-0027
US

V. Phone/Fax

Practice location:
  • Phone: 479-434-8792
  • Fax: 479-358-1459
Mailing address:
  • Phone: 479-434-8792
  • Fax: 479-358-1459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALYSSA HUBER
Title or Position: OWNER, DIETITIAN
Credential: RD
Phone: 479-434-8792