Healthcare Provider Details

I. General information

NPI: 1700780178
Provider Name (Legal Business Name): INDII CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 STABLE RUN CT
RANDALLSTOWN MD
21133-5334
US

IV. Provider business mailing address

38 STABLE RUN CT
RANDALLSTOWN MD
21133-5334
US

V. Phone/Fax

Practice location:
  • Phone: 443-240-6901
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number StateNULL

VIII. Authorized Official

Name: INDIA HINTON
Title or Position: OWNER
Credential: CNS,LDN
Phone: 443-240-6901