Organization · Type 2 NPI

Headwaters Nutrition Counseling, LLC

Registered Dietitian · Bemidji, MN

NPI number 1578282646 Active

Practice location

110 Mag Seven Ct SW
Bemidji, MN 56601-4677

Fax (218) 214-6054

Mailing address

PO Box 634
Brandon, SD 57005-0634

Other practice locations

  • 43000 County 3, Laporte, MN 56461-4139 · (218) 689-1907
  • 118 Paul Bunyan Dr S, Bemidji, MN 56601-3236 · (218) 689-1907

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1578282646

Headwaters Nutrition Counseling, LLC's National Provider Identifier is 1578282646, issued on Aug 23, 2022. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Bemidji, MN. The record was last updated on Oct 23, 2026.