Healthcare Provider Details

I. General information

NPI: 1710616651
Provider Name (Legal Business Name): BELOVED EATING DISORDER COACHING & NUTRITION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2022
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 N BOYLAN AVE APT 710
RALEIGH NC
27603-7121
US

IV. Provider business mailing address

7413 SIX FORKS RD # 177
RALEIGH NC
27615-6164
US

V. Phone/Fax

Practice location:
  • Phone: 919-283-2984
  • Fax:
Mailing address:
  • Phone: 919-283-2984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: HALEY COX
Title or Position: DIETITIAN, RECOVERY COACH, FOUNDER
Credential: RD, LD
Phone: 919-283-2984