Provider Demographics
NPI:1538676861
Name:ABBIE MULLINS - CHILDBIRTH EDUCATION & LACTATION, LLC
Entity Type:Organization
Organization Name:ABBIE MULLINS - CHILDBIRTH EDUCATION & LACTATION, LLC
Other - Org Name:ABBIE MULLINS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:KARLENE
Authorized Official - Last Name:MULLINS
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RNC, LCCE,IBCLC
Authorized Official - Phone:773-870-2899
Mailing Address - Street 1:4440 CHANCELLOR DR
Mailing Address - Street 2:
Mailing Address - City:DEWITT
Mailing Address - State:MI
Mailing Address - Zip Code:48820-7861
Mailing Address - Country:US
Mailing Address - Phone:773-870-2899
Mailing Address - Fax:517-381-6872
Practice Address - Street 1:4440 CHANCELLOR DR
Practice Address - Street 2:
Practice Address - City:DEWITT
Practice Address - State:MI
Practice Address - Zip Code:48820-7861
Practice Address - Country:US
Practice Address - Phone:773-870-2899
Practice Address - Fax:517-381-6872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-09
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704251764251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care