A Balanced Plate, LLC
Organization Active NPI Registered Dietitian · Bruceton Mills, WV
NPI 1548780976 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1548780976
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 428 (WV)
- Legal business name
- A BALANCED PLATE, LLC
- Practice address
- 4813 Old Route 73
Bruceton Mills, WV 26525-5313 - Phone
- (304) 288-0136
- NPI assigned
- Jun 27, 2017
- Organization subpart
- No
Authorized official
- Name
- Camilla Haught, RD
- Title
- Dietitian
- Phone
- (304) 288-0136
National Provider Directory
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | 428 | WV | Yes |
Addresses
Primary practice location
4813 Old Route 73
Bruceton Mills, WV 26525-5313
Mailing address
4813 Old Route 73
Bruceton Mills, WV 26525-5313
Phone (304) 288-0136
Other providers in Bruceton Mills, WV
All providers in Bruceton Mills, WV · Registered Dietitian in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.