Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Clinical Weight Loss & Wellness LLC

Organization Registered Dietitian · NPI 1265990030

Clinical Weight Loss & Wellness LLC is a Registered Dietitian in Glastonbury, Connecticut. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2790 Main St
Glastonbury, CT 06033-2027
Phone: (860) 430-9922
Fax: (860) 633-9922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1265990030
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeannie Leitao — Owner/Ceo · (860) 430-9922
NPI enumeratedMarch 11, 2019
Last updated in NPPESOctober 2, 2020
Certification dateOctober 2, 2020
Mailing address2790 Main St, Glastonbury, CT 06033-2027

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