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

Mind Belly Soul Nutrition LLC

Organization Health Service Clinic/Center · NPI 1093432841

Mind Belly Soul Nutrition LLC is a Health Service Clinic/Center in Philadelphia, Pennsylvania. Registered with an NPI since 2022.

In the registry since
2022
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

1807 Waterloo St
Philadelphia, PA 19122-2422
Phone: (678) 656-5830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1093432841
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hannah Pfohl — Registered Dietitian · (678) 656-5830
NPI enumeratedOctober 24, 2022
Last updated in NPPESOctober 24, 2022
Certification dateOctober 23, 2022
Mailing address1807 Waterloo St, Philadelphia, PA 19122-2422

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