Healthcare Provider Details

I. General information

NPI: 1588464549
Provider Name (Legal Business Name): THE NUTRITION THERAPY SPECIALIST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2612 ELDWICK DR
ALPHARETTA GA
30009-8755
US

IV. Provider business mailing address

2612 ELDWICK DR
ALPHARETTA GA
30009-8755
US

V. Phone/Fax

Practice location:
  • Phone: 312-857-4868
  • Fax:
Mailing address:
  • Phone: 228-547-5111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateNULL

VIII. Authorized Official

Name: ASHLEY BARRIENT
Title or Position: DIETITIAN PRACTICE OWNER
Credential: RD, LD
Phone: 228-547-5111