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

Sacred Table LLC

Organization Registered Dietitian · NPI 1306717319

Sacred Table LLC is a Registered Dietitian in Youngstown, Ohio. Registered with an NPI since 2025.

In the registry since
2025
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

2512 Frostwood Dr
Youngstown, OH 44515-5144
Phone: (330) 402-7147
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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 number1306717319
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexis Weber — Owner · (330) 402-7147
NPI enumeratedSeptember 15, 2025
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 14, 2025
Mailing address2512 Frostwood Dr, Youngstown, OH 44515-5144

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