| Organization Name: | CHANGES FOR LIFE, LLC |
| NPI Number: | 1730496266 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LYNN HOLMBERG (REGISTERED DIETITIAN) |
| Mailing Address: | 148 East Ave Suite 3a Norwalk |
| State: | CT US |
| Postal Code: | 068515721 |
| Phone Number: | 2035325053 |
| Fax Number: | 2035325053 |
| NPI Enumeration Date: | 09/03/2010 |
| NPI Last Update Date: | 09/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 000762 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |