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

Nourished Living LLC

Organization Registered Dietitian · NPI 1942817580

Nourished Living LLC is a Registered Dietitian in Saint Clair Shores, Michigan. Registered with an NPI since 2020.

In the registry since
2020
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

22811 Greater Mack Ave Ste 210
Saint Clair Shores, MI 48080-2054
Phone: (248) 288-2680
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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 number1942817580
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bethany Matus — Authorized Official/Owner · (313) 288-2680
NPI enumeratedSeptember 28, 2020
Last updated in NPPESNovember 13, 2020
Certification dateNovember 13, 2020
Mailing address676 Canterbury Rd, Grosse Pointe Woods, MI 48236-1278

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