# HOLISTIC APPROACH TO OBESITY PREVENTION AND EDUCATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831697267
- **Authorized official:** JEANNETTE CORDOR (CEO)
- **Authorized official phone:** (804) 218-5575

## Contact information

- **Practice address:** 249 E GERMAN SCHOOL RD, RICHMOND, VA 23224-1460
- **Practice address phone:** (804) 218-5575
- **Mailing address:** 249 E GERMAN SCHOOL RD, RICHMOND, VA 23224-1460
- **Mailing address phone:** (804) 218-5575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103TC0700X | Clinical Psychologist | 0810000972 | VA | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |
| 103TP2701X | Group Psychotherapy Psychologist | — | NULL | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 133N00000X | Nutritionist | — | NULL | — |
| 133N00000X | Nutritionist | — | — | — |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | — |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |
| 133V00000X | Registered Dietitian | — | VA | — |
| 133VN1004X | Pediatric Nutrition Registered Dietitian | — | NULL | — |
| 133VN1004X | Pediatric Nutrition Registered Dietitian | — | — | — |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | — | NULL | — |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | — | — | — |
| 174H00000X | Health Educator | — | NULL | — |
| 174H00000X | Health Educator | — | — | — |

## Other

- **Enumeration date:** 01/31/2018
- **Last updated:** 01/31/2018