Provider Demographics
NPI:1225760960
Name:AKINS, YOLANDA (IBCLC)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:AKINS
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 DOUBLE BRANCHES LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30132-1156
Mailing Address - Country:US
Mailing Address - Phone:706-580-6923
Mailing Address - Fax:
Practice Address - Street 1:2141 KINGSTON CT SE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-8928
Practice Address - Country:US
Practice Address - Phone:770-644-0555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAL-304117174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAL-304117OtherINTERNATIONAL BOARD CERTIFIED LACTATION EXAMINERS