Organization
NOURISHED ROOTS CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA DEFEO (OWNER)
(912) 515-5822
Entity
Organization
Contact information
Practice address
1405 NEWCASTLE ST, BRUNSWICK, GA 31520-7019
(912) 515-5822
(833) 923-1244
Mailing address
1405 NEWCASTLE ST, BRUNSWICK, GA 31520-7019
(912) 515-5822
(833) 923-1244
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
12/17/2025
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