Healthcare Provider Details

I. General information

NPI: 1366276578
Provider Name (Legal Business Name): CARMEN HEBERT NUTRITION EDUCATION AND COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2024
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 SAINT LOUIS ST
LAFAYETTE LA
70506-4413
US

IV. Provider business mailing address

503 SAINT LOUIS ST
LAFAYETTE LA
70506-4413
US

V. Phone/Fax

Practice location:
  • Phone: 251-404-3405
  • Fax:
Mailing address:
  • Phone: 251-404-3405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CARMEN MILLER HEBERT
Title or Position: OWNER/DIETITIAN
Credential: MS, RDN, LDN
Phone: 251-404-3405