Provider Demographics
NPI:1437400330
Name:BECOMING MOTHERS, INC.
Entity Type:Organization
Organization Name:BECOMING MOTHERS, INC.
Other - Org Name:BECOMING MOTHERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/LACTATION CONSULTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:ELIZABETH ALTON
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, IBCLC
Authorized Official - Phone:303-546-6262
Mailing Address - Street 1:2525 ARAPAHOE AVE
Mailing Address - Street 2:H-12B
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-6720
Mailing Address - Country:US
Mailing Address - Phone:303-546-6262
Mailing Address - Fax:303-546-6263
Practice Address - Street 1:2525 ARAPAHOE AVE
Practice Address - Street 2:H-12B
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-6720
Practice Address - Country:US
Practice Address - Phone:303-546-6262
Practice Address - Fax:303-546-6263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-02
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO196-13456174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty