Organization
LIFE IN BALANCE NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL B JOHNSON CNS/LDN (CERTIFIED NUTRITION SPECIALIST)
(571) 221-2156
Entity
Organization
Contact information
Practice address
407 FORTRESS WAY, OCCOQUAN, VA 22125-7700
(571) 348-4220
Mailing address
PO BOX 88, OCCOQUAN, VA 22125-0088
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
Other
Enumeration date
03/10/2026
Last updated
05/05/2026
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