Healthcare Provider Details

I. General information

NPI: 1003201252
Provider Name (Legal Business Name): INSPIRD NUTRITION CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2015
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 EVERGREEN AVE STE 203
MILLVALE PA
15209-2257
US

IV. Provider business mailing address

820 EVERGREEN AVE STE 203
MILLVALE PA
15209-2257
US

V. Phone/Fax

Practice location:
  • Phone: 412-372-1400
  • Fax:
Mailing address:
  • Phone: 412-372-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN005398
License Number StatePA

VIII. Authorized Official

Name: HALEY GOODRICH
Title or Position: OWNER
Credential:
Phone: 979-814-0702