OrganizationActive
Ellen J Matheson Functional Wellness Solutions, LLC
NPI 1417404302 · Nutrition Education Nutritionist · Charleston, SC
Provider details
- NPI number
- 1417404302
- Entity type
- Organization
- Primary specialty
- Nutrition Education NutritionistDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Ellen Matheson, Certified Nutrition Specialist(843) 410-8567
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Health Educator174H00000X
Other Service Providers
Practice location
621 Wappoo Rd
Seed of Life Collective
Charleston, SC 29407-1800
Phone: (843) 410-8567
Approximate (ZIP-level) locationGet directions
Mailing address
2948 Cathedral Ln
Charleston, SC 29414-7309
Other names (DBA / former)
- Other name
- Eljema Wellness
Registry dates
- Enumerated
- 2016-09-08
- Last updated
- 2016-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.