Lifeful Aging, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

LIFEFUL AGING, LLC

Practice address

6633 W Via Montoya Dr
Glendale, AZ 85310-5714

Phone

(480) 813-9989

NPI assigned

May 13, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Betty Harbolic, MS, RDN, BCCNPI 1568210805

Title

Founder

Phone

(480) 813-9989

Specialties & licenses 6

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Betty Harbolic, MS, RDN, BCC

  • Registered Dietitian
  • Green Cove Springs, FL
  • NPI 1568210805

  Dietitian, Registered

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1750130894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6633 W VIA MONTOYA DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105714",
            "telephone_number": "480-813-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6633 W VIA MONTOYA DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853105714",
            "telephone_number": "480-813-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEFUL AGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "HARBOLIC",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "480-813-9989",
        "authorized_official_credential": "MS, RDN, BCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Gerontological",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Liao
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• Nicole Lichter, PT, DPT
• Life Care Centers of America, Inc.
• Life Healing Center
• Lifeline Professional Counseling Services, Inc
• Lifes Journey LLC
• Lifestream Complete Senior Living at Thunderbird Inc
• Lifetree Counseling, LLC
• Scott E Lightfoot, PA-C

• Registered Dietitian in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.