Healthcare Provider Details

I. General information

NPI: 1295662336
Provider Name (Legal Business Name): BRENDA WILLIAMS MS, RDN, LDN, IFNCP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 SAINT ANDREWS AVE
ZACHARY LA
70791-5408
US

IV. Provider business mailing address

2501 SAINT ANDREWS AVE
ZACHARY LA
70791-5408
US

V. Phone/Fax

Practice location:
  • Phone: 225-505-1931
  • Fax:
Mailing address:
  • Phone: 225-505-1931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number1171
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number1171
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: