Provider Demographics
NPI:1407465016
Name:HOLLY MCHUGH LACTATION SERVICES LLC
Entity Type:Organization
Organization Name:HOLLY MCHUGH LACTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LACTATION CONSULTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCHUGH-MAI
Authorized Official - Suffix:
Authorized Official - Credentials:RN IBCLC
Authorized Official - Phone:407-718-9158
Mailing Address - Street 1:1243 STONE HARBOUR RD
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-4740
Mailing Address - Country:US
Mailing Address - Phone:407-718-9158
Mailing Address - Fax:
Practice Address - Street 1:1243 STONE HARBOUR RD
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-4740
Practice Address - Country:US
Practice Address - Phone:407-718-9158
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty