Linda Brooks, CERTIFIED WEIGHT LOS

Individual provider Active NPI Health & Wellness Coach · Spring Lake, NJ

NPI 1033726658 · NPPES record last updated Jun 7, 2022

Key facts

NPI
1033726658
Entity type
Individual (NPI type 1)
Primary specialty
Health & Wellness Coach 171400000X
Practice address
309 Morris Avenue
Suite F
Spring Lake, NJ 07762-1533
Phone
(732) 859-7400
Fax
(732) 499-5871
NPI assigned
Sep 28, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist
Group: 193200000X MULTI-SPECIALTY GROUP
133NN1002X
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X
Health & Wellness Coach 171400000X Yes

Addresses

Primary practice location

309 Morris Avenue
Suite F
Spring Lake, NJ 07762-1533

Mailing address

1926 Troy Dr
Wall Township, NJ 07719-3662
Phone (732) 859-7400

Other providers in Spring Lake, NJ

All providers in Spring Lake, NJ · Health & Wellness Coach in New Jersey

Sources for this page

Verify at the official NPI Registry.