Healthcare Provider Details

I. General information

NPI: 1538680103
Provider Name (Legal Business Name): NUTRITION JOY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8010 STOWE SPRINGS LN
ARLINGTON TX
76002-3773
US

IV. Provider business mailing address

8010 STOWE SPRINGS LN
ARLINGTON TX
76002-3773
US

V. Phone/Fax

Practice location:
  • Phone: 682-552-0696
  • Fax:
Mailing address:
  • Phone: 682-552-0696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA LIEW-NEWVILLE
Title or Position: OWNER
Credential: RD, LD
Phone: 682-552-0696