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
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None 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.