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

Nourished Roots Consulting, LLC

Organization Counselor · NPI 1245100775

Nourished Roots Consulting, LLC is a Counselor in Brunswick, Georgia. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
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

1405 Newcastle St
Brunswick, GA 31520-7019
Phone: (912) 515-5822
Fax: (833) 923-1244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X
Counselor Taxonomy 101Y00000X

Record details

NPI number1245100775
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cassandra Defeo — Owner · (912) 515-5822
NPI enumeratedNovember 10, 2025
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025
Mailing address1405 Newcastle St, Brunswick, GA 31520-7019

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