LIFEFUL AGING LLC NPI 1437981511

NPI Information

  • NPI: 1437981511
  • Provider Name: LIFEFUL AGING, LLC
  • Classification: Dietitian, Registered - 133V00000X
  • Entity Type: Organization
  • Address: 11211 PROSPERITY FARMS RD STE A101
    PALM BEACH GARDENS, FL
    ZIP 33410
  • Phone: (480) 813-9989

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NPI Details

LIFEFUL AGING, LLC is a dietitian registered in Palm Beach Gardens, FL. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. LIFEFUL AGING, LLC NPI is 1437981511. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11211 PROSPERITY FARMS RD STE A101
PALM BEACH GARDENS, FL
ZIP 33410-479
Phone: (480) 813-9989

The provider's authorized official is Betty Harbolic .
The authorized official title is Founder and has the following contact phone number (917) 449-2990.

The enumeration date for this NPI number is 8/16/2024 and was last updated on 8/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133NN1002XNutritionistNutrition, EducationNo
2133V00000XDietitian, RegisteredYes
3133VN1101XDietitian, RegisteredNutrition, GerontologicalNo
4133VN1201XDietitian, RegisteredNutrition, Obesity and Weight ManagementNo
5171400000XHealth and Wellness CoachNo

What is NPI?

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This page was last updated on: 11/21/2025

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