Healthcare Provider Details

I. General information

NPI: 1316414204
Provider Name (Legal Business Name): BETTER ME NUTRITION COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2018
Last Update Date: 10/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79 MAIN ST
AUBURN ME
04210-5811
US

IV. Provider business mailing address

15 RUBY LN
WALES ME
04280-3367
US

V. Phone/Fax

Practice location:
  • Phone: 207-740-6346
  • Fax:
Mailing address:
  • Phone: 207-740-6346
  • 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: MRS. MIA COTE
Title or Position: OWNER
Credential: REGISTERED DIETITIAN
Phone: 207-740-6346