Healthcare Provider Details

I. General information

NPI: 1669046074
Provider Name (Legal Business Name): FINDING FREEDOM NUTRITION AND COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2021
Last Update Date: 11/15/2021
Certification Date: 11/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14323 SOUTH OUTER 40 RD STE 512S
TOWN AND COUNTRY MO
63017-5734
US

IV. Provider business mailing address

14323 SOUTH OUTER 40 RD STE 512S
TOWN AND COUNTRY MO
63017-5734
US

V. Phone/Fax

Practice location:
  • Phone: 314-246-9395
  • Fax: 314-689-0395
Mailing address:
  • Phone: 314-246-9395
  • Fax: 314-689-0395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: MRS. AISHA KASHIF LUBINSKI
Title or Position: PSYCHOTHERAPIST AND DIETITIAN
Credential: MA, LPC, RDN, LDN
Phone: 314-246-9395