Provider Demographics
NPI:1538669056
Name:EBB & FLOW LACTATION SERVICES
Entity Type:Organization
Organization Name:EBB & FLOW LACTATION SERVICES
Other - Org Name:JULIE ALAYNE GLADNEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LACTATION CONSULTANT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ALAYNE
Authorized Official - Last Name:GLADNEY
Authorized Official - Suffix:
Authorized Official - Credentials:BS, LPN, IBCLC
Authorized Official - Phone:740-818-8871
Mailing Address - Street 1:PO BOX 393
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-0393
Mailing Address - Country:US
Mailing Address - Phone:740-818-8871
Mailing Address - Fax:844-442-5114
Practice Address - Street 1:217 COLUMBUS RD STE 105
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-1393
Practice Address - Country:US
Practice Address - Phone:740-818-8871
Practice Address - Fax:844-442-5114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-21
Last Update Date:2019-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center