Actualize Counseling & Nutrition LLC
Social Worker, Clinical in Arlington, Massachusetts
1316571136- Practice location
- 30 Standish RD, Arlington, MA 02476-7069
- Phone
- 781-430-9833
- Fax
- —
- Last updated
- September 25, 2023
Actualize Counseling & Nutrition LLC is a healthcare organization based in Arlington, MA. Actualize Counseling & Nutrition LLC practices in Arlington, MA. The NPI Number for Actualize Counseling & Nutrition LLC is 1316571136. The current practice location address for Actualize Counseling & Nutrition LLC is 30 Standish RD, Arlington, MA 02476-7069 and can be reached out via phone at 781-430-9833.
Provider Profile Details
- NPI Number
- 1316571136
- Provider Name
- Actualize Counseling & Nutrition LLC
- Provider Entity Type
- Organization
- Address
- 30 Standish RD, Arlington, MA 02476-7069
- Phone Number
- 781-430-9833
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Lisa Keovongsa, RD, LDN · Owner · 781-430-9833
- Provider Enumeration Date
- March 2, 2020
- Last Update Date
- September 25, 2023
- Certification Date
- September 25, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Standish RD
Arlington, MA 02476-7069 - City
- Arlington
- State
- Massachusetts
- Zip
- 02476-7069
- Phone Number
- 781-430-9833
Provider Business Mailing Address Details
- Address
- 30 Standish RD
Arlington, MA 02476-7069 - City
- Arlington
- State
- MA
- Zip
- 02476-7069
- Phone Number
- 781-430-9833
License Information
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- Taxonomy (2)
- Dietitian, Registered, Nutrition, Obesity and Weight Management · 133VN1201X
- Taxonomy (3)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Actualize Counseling & Nutrition LLC?
The NPI number of Actualize Counseling & Nutrition LLC is 1316571136. It was assigned on March 2, 2020 and is currently active in the NPPES registry.
What is the specialty of Actualize Counseling & Nutrition LLC?
Actualize Counseling & Nutrition LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Actualize Counseling & Nutrition LLC practice?
The practice location is 30 Standish RD, Arlington, MA 02476-7069. The office can be reached at 781-430-9833 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316571136 directly on the NPPES registry website.