# THRIVE NUTRITION COUNSELING

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

## Provider details

- **NPI number:** 1942079470
- **Authorized official:** CAROLINE TIZARD MS RD LDN CSOWM (REGISTERED DIETITIAN)
- **Authorized official phone:** (407) 489-9066

## Contact information

- **Practice address:** 5202 TILBURY WAY, BALTIMORE, MD 21212-3504
- **Practice address phone:** (407) 489-9066
- **Mailing address:** 5202 TILBURY WAY, BALTIMORE, MD 21212-3504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | NULL | Yes |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | — | Yes |

## Other

- **Enumeration date:** 12/26/2023
- **Last updated:** 12/26/2023