ELLAD NUTRITION CONSULTING LLC NPI 1700123064

NPI Information

  • NPI: 1700123064
  • Provider Name: ELLAD NUTRITION CONSULTING, LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: EPH MENTAL HEALTH SERVICES
  • Address: 9401 COURTHOUSE RD STE 202
    CHESTERFIELD, VA
    ZIP 23832
  • Phone: (804) 616-4378

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NPI Details

ELLAD NUTRITION CONSULTING, LLC is a multi-specialty clinic center in Chesterfield, VA. ELLAD NUTRITION CONSULTING, LLC NPI is 1700123064. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Eph Mental Health Services.

The provider's business location address is:

9401 COURTHOUSE RD STE 202
CHESTERFIELD, VA
ZIP 23832-687
Phone: (804) 616-4378
Fax: (804) 451-4586

The provider's authorized official is Tyra L Tanner .
The authorized official title is Clinical Director and has the following contact phone number (804) 616-4378.

The enumeration date for this NPI number is 1/7/2013 and was last updated on 1/11/2025.

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
1133V00000XDietitian, RegisteredNo
2261QM1300XClinic/CenterMulti-SpecialtyYes
3363L00000XNurse PractitionerNo
4363LA2200XNurse PractitionerAdult HealthNo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
6364S00000XClinical Nurse SpecialistNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

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