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 provides Registered Dietitian services 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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