MEDICARE: NUTRANS HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1962101287
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NUTRANS HEALTH LLC

Provider Business Mailing Address
First Line	:	5109 HOLLYRIDGE DR STE 103
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27612-3146
Country	:	US
Telephone Number	:	844-748-8443
Fax Number	:	919-882-1252

Provider Business Practice Location Address
First Line	:	5109 HOLLYRIDGE DR STE 103
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27612-3146
Country	:	US
Telephone Number	:	844-748-8443
Fax Number	:	919-882-1252

Authorized Official
Title or Position	:	OWNER
Name	:	RAJA MEHRAN HAMEED
Credential	:
Telephone Number	:	206-590-5767

Provider Enumeration Date	:	02/24/2023
Last Update Date	:	12/09/2025

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Directions to “NUTRANS HEALTH LLC ” Practice Location

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