Healthcare Provider Details

I. General information

NPI: 1912649674
Provider Name (Legal Business Name): SAVORY LIVING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2022
Last Update Date: 04/12/2022
Certification Date: 04/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 KENT ST APT 10
BROOKLINE MA
02445-7917
US

IV. Provider business mailing address

74 KENT ST APT 10
BROOKLINE MA
02445-7917
US

V. Phone/Fax

Practice location:
  • Phone: 617-651-1221
  • Fax:
Mailing address:
  • Phone: 617-651-1221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name: SUE R LEVY
Title or Position: CEO, FOUNDER
Credential:
Phone: 617-651-1221