Organization · Type 2 NPI

Back 2 Basics Nutrition LLC

Counselor · Woodstock, MD

NPI number 1467306068 Active

Practice location

10753 Birmingham Way
Woodstock, MD 21163-1535

Fax (443) 280-6441

Mailing address

5216 Chairmans Ct Ste 104
Frederick, MD 21703-2858

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

About NPI 1467306068

Back 2 Basics Nutrition LLC's National Provider Identifier is 1467306068, issued on Feb 23, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Woodstock, MD. The record was last updated on Feb 23, 2026.