Healing Lifestyle Center, Inc

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

179 Issued in SC

Legal business name

HEALING LIFESTYLE CENTER, INC

Practice address

11945 Grandhaven Dr
Ste G
Murrells Inlet, SC 29576-8091

Phone

(843) 839-9088

Fax

(888) 909-5897

NPI assigned

Aug 3, 2015

Last updated

Aug 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy Jo Weber, MBA,RDN,LDNPI 1740202936

Title

Ceo

Phone

(843) 957-4457

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nancy Jo Weber, MBA, RD, CDE, CSR, L

  • Renal Nutrition Registered Dietitian
  • Murrells Inlet, SC
  • NPI 1740202936
  Authorized official Same address or phone

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1851777866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11945 GRANDHAVEN DR",
            "address_2": "STE G",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295768091",
            "telephone_number": "843-839-9088",
            "fax_number": "888-909-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11945 GRANDHAVEN DR",
            "address_2": "STE G",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295768091",
            "telephone_number": "843-839-9088",
            "fax_number": "888-909-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING LIFESTYLE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-957-4457",
        "authorized_official_credential": "MBA,RDN,LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Diane Hayden, LPTA
• Katy Hayek, PTA
• John R. Hazelton, M.D.
• Douglas S Head, M.D.
• Justin Michael Head, D.O.
• Healthpros LLC
• Gretchen Heenan, PHARMD
• Sean Paul Heironimus, PHARMD
• Peggy Dimetra Henkel
• Monica Hennen

• Registered Dietitian in Murrells Inlet, SC
• Providers in Murrells Inlet, SC by specialty
• Registered Dietitian in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.