Healthcare Provider Details

I. General information

NPI: 1255954137
Provider Name (Legal Business Name): STEF AND BRI WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2020
Last Update Date: 06/18/2024
Certification Date: 06/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 CITYWEST BLVD STE 150-135
HOUSTON TX
77042-3000
US

IV. Provider business mailing address

2602 SHALY CT
KATY TX
77450-7514
US

V. Phone/Fax

Practice location:
  • Phone: 832-990-1371
  • Fax: 832-307-1484
Mailing address:
  • Phone: 832-724-6266
  • Fax: 832-307-1484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: BRIANA BUTLER
Title or Position: CO-OWNER
Credential: MCN, RDN, LD
Phone: 832-724-6266