1710834502 NPI number — LOVE YOURSELF NUTRITION

Table of content: MAIA JULIA LESLIE MA, LHMC, MHP (NPI 1285291930)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710834502 NPI number — LOVE YOURSELF NUTRITION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LOVE YOURSELF NUTRITION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710834502
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/12/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20879 DANIEL DUKE WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BEND
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97701-7025
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
541-908-5126
Provider Business Mailing Address Fax Number:
458-292-1756

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20879 DANIEL DUKE WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BEND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97701-7025
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-908-5126
Provider Business Practice Location Address Fax Number:
458-292-1756
Provider Enumeration Date:
03/12/2026

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MOFFATT
Authorized Official First Name:
KELLY
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/REGISTERED DIETITIAN
Authorized Official Telephone Number:
541-908-5126

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)